Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,659.59 / $8,709.64	Facility		$870.96	$1,659.59	$8,709.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,737.80	Facility		$870.96	$1,148.15	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,890.45 / $6,918.31	Facility		$1,174.90	$3,890.45	$6,918.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $10,232.93 / $10,232.93	Facility		$56.23	$10,232.93	$10,232.93