Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.41 / $1,245.00 / $7,439.00	Facility		$897.41	$1,245.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $897.41 / $1,309.58 / $1,549.66	Facility		$897.41	$1,309.58	$1,549.66
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 / $13,893.36 / $16,336.68	Facility		$55.00	$13,893.36	$16,336.68