Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.75 / $4,148.00 / $6,649.00	Facility		$742.75	$4,148.00	$6,649.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $675.79 / $931.28 / $1,708.76	Facility		$675.79	$931.28	$1,708.76
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 $2,546.23 / $14,302.50 / $16,394.00	Facility		$2,546.23	$14,302.50	$16,394.00