Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.51 / $1,824.96 / $4,951.00	Facility		$524.51	$1,824.96	$4,951.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $524.51 / $728.81 / $1,336.02	Facility		$524.51	$728.81	$1,336.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,994.60 / $9,388.90 / $16,394.00	Facility		$1,994.60	$9,388.90	$16,394.00