Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.28 / $1,245.00 / $8,413.00	Facility		$249.28	$1,245.00	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $249.28 / $319.49 / $629.40	Facility		$249.28	$319.49	$629.40
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 $940.44 / $9,496.40 / $26,542.00	Facility		$940.44	$9,496.40	$26,542.00