Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.16 / $1,953.32 / $7,724.00	Facility		$409.16	$1,953.32	$7,724.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $409.16 / $567.39 / $1,043.89	Facility		$409.16	$567.39	$1,043.89
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 $1,554.52 / $9,388.90 / $26,542.00	Facility		$1,554.52	$9,388.90	$26,542.00