Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.74 / $4,942.82 / $7,721.53	Facility		$454.74	$4,942.82	$7,721.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $298.64 / $384.54 / $781.44	Facility		$298.64	$384.54	$781.44
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 $1,163.16 / $9,496.40 / $26,542.00	Facility		$1,163.16	$9,496.40	$26,542.00