Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.92 / $4,311.00 / $19,958.40	Facility		$84.92	$4,311.00	$19,958.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.92 / $107.03 / $174.75	Facility		$84.92	$107.03	$174.75
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 / $203.66 / $1,300.00	Facility		$55.00	$203.66	$1,300.00