Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.33 / $1,615.00 / $12,615.00	Facility		$458.33	$1,615.00	$12,615.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $458.33 / $601.00 / $1,153.64	Facility		$458.33	$601.00	$1,153.64
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 / $2,987.67 / $6,060.52	Facility		$55.00	$2,987.67	$6,060.52