Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.53 / $1,338.00 / $8,413.00	Facility		$342.53	$1,338.00	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $342.53 / $423.57 / $840.90	Facility		$342.53	$423.57	$840.90
United Facility/Professional Facility Modifier Low / Median / High Price $3,758.89 / $12,081.00 / $19,066.00	Facility		$3,758.89	$12,081.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,606.60 / $12,623.50 / $26,542.00	Facility		$1,606.60	$12,623.50	$26,542.00