Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.34 / $4,148.00 / $6,915.00	Facility		$169.34	$4,148.00	$6,915.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.22 / $153.00 / $264.26	Facility		$103.22	$153.00	$264.26
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 $391.92 / $9,496.40 / $16,394.00	Facility		$391.92	$9,496.40	$16,394.00