Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.12 / $4,922.05 / $7,845.95	Facility		$441.12	$4,922.05	$7,845.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $279.47 / $507.31 / $722.25	Facility		$279.47	$507.31	$722.25
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 $1,306.55 / $12,623.50 / $16,394.00	Facility		$1,306.55	$12,623.50	$16,394.00