Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $4,365.16 / $11,220.18	Facility		$676.08	$4,365.16	$11,220.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $912.01 / $1,412.54	Facility		$676.08	$912.01	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $15,488.17 / $22,908.68	Facility		$5,370.32	$15,488.17	$22,908.68
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $16,218.10 / $42,657.95	Facility		$16,218.10	$16,218.10	$42,657.95