Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.71 / $1,615.00 / $12,615.00	Facility		$974.71	$1,615.00	$12,615.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $974.71 / $1,168.36 / $2,412.23	Facility		$974.71	$1,168.36	$2,412.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,303.85 / $7,730.66	Facility		$55.00	$6,303.85	$7,730.66