Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.97 / $1,213.00 / $7,968.00	Facility		$803.97	$1,213.00	$7,968.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $803.97 / $1,094.00 / $2,017.92	Facility		$803.97	$1,094.00	$2,017.92
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 $55.00 / $5,255.74 / $6,465.55	Facility		$55.00	$5,255.74	$6,465.55