Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,174.90 / $8,709.64	Facility		$457.09	$1,174.90	$8,709.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $660.69	Facility		$316.23	$426.58	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $12,302.69 / $19,054.61	Facility		$4,168.69	$12,302.69	$19,054.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $45,708.82	Facility		$12,589.25	$12,589.25	$45,708.82