Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.00 / $1,631.25 / $7,362.00	Facility		$903.00	$1,631.25	$7,362.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,035.53 / $1,220.07 / $2,629.33	Facility		$1,035.53	$1,220.07	$2,629.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,042.12 / $7,251.24	Facility		$55.00	$6,042.12	$7,251.24