Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.35 / $1,572.86 / $7,278.00	Facility		$389.35	$1,572.86	$7,278.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $389.35 / $484.40 / $966.56	Facility		$389.35	$484.40	$966.56
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 $1,818.55 / $9,496.40 / $16,394.00	Facility		$1,818.55	$9,496.40	$16,394.00