Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $885.87 / $1,615.00 / $12,615.00	Facility		$885.87	$1,615.00	$12,615.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $885.87 / $1,257.00 / $2,217.17	Facility		$885.87	$1,257.00	$2,217.17
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,792.22 / $10,899.50	Facility		$55.00	$5,792.22	$10,899.50