Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.13 / $6,072.88 / $10,087.00	Facility		$548.13	$6,072.88	$10,087.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $548.13 / $661.94 / $1,374.29	Facility		$548.13	$661.94	$1,374.29
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 / $3,613.12 / $4,777.50	Facility		$55.00	$3,613.12	$4,777.50