Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $815.57 / $1,742.57 / $11,124.00	Facility		$815.57	$1,742.57	$11,124.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $796.93 / $1,081.02 / $1,955.54	Facility		$796.93	$1,081.02	$1,955.54
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 / $8,670.75 / $10,372.34	Facility		$55.00	$8,670.75	$10,372.34