Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $773.75 / $6,259.68 / $11,155.00	Facility		$773.75	$6,259.68	$11,155.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $672.73 / $1,034.05 / $1,691.26	Facility		$672.73	$1,034.05	$1,691.26
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $15,870.00 / $22,780.00	Facility		$6,688.00	$15,870.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,462.71 / $16,223.75 / $26,542.00	Facility		$4,462.71	$16,223.75	$26,542.00