Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.72 / $11,124.00 / $13,077.00	Facility		$558.72	$11,124.00	$13,077.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $558.72 / $717.78 / $1,174.45	Facility		$558.72	$717.78	$1,174.45
United Facility/Professional Facility Modifier Low / Median / High Price $10,829.00 / $22,655.00 / $29,047.00	Facility		$10,829.00	$22,655.00	$29,047.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,911.95 / $34,401.94	Facility		$55.00	$5,911.95	$34,401.94