Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.55 / $1,245.00 / $6,735.00	Facility		$363.55	$1,245.00	$6,735.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $363.55 / $502.05 / $928.87	Facility		$363.55	$502.05	$928.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,353.00 / $6,885.00 / $9,616.00	Facility		$2,353.00	$6,885.00	$9,616.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,384.04 / $9,388.90 / $26,542.00	Facility		$1,384.04	$9,388.90	$26,542.00