Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.76 / $1,016.64 / $7,017.59	Facility		$623.76	$1,016.64	$7,017.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $623.76 / $874.59 / $1,586.38	Facility		$623.76	$874.59	$1,586.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,363.40 / $3,174.14	Facility		$55.00	$2,363.40	$3,174.14