Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.36 / $1,245.00 / $7,362.00	Facility		$102.36	$1,245.00	$7,362.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.36 / $160.44 / $267.58	Facility		$102.36	$160.44	$267.58
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $599.64 / $2,710.90 / $12,000.00	Facility		$599.64	$2,710.90	$12,000.00