Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $948.67 / $6,902.05 / $10,034.00	Facility		$948.67	$6,902.05	$10,034.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $422.70 / $636.36 / $1,078.01	Facility		$422.70	$636.36	$1,078.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $9,558.29 / $26,542.00	Facility		$2,003.00	$9,558.29	$26,542.00