Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.11 / $1,615.00 / $10,561.00	Facility		$685.11	$1,615.00	$10,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $670.01 / $932.42 / $1,384.60	Facility		$670.01	$932.42	$1,384.60
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,203.15 / $16,298.90	Facility		$55.00	$3,203.15	$16,298.90