Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $959.55 / $1,475.71 / $7,439.00	Facility		$959.55	$1,475.71	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $959.55 / $1,215.26 / $2,514.40	Facility		$959.55	$1,215.26	$2,514.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,064.00 / $3,906.00 / $6,388.00	Facility		$1,064.00	$3,906.00	$6,388.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,427.01 / $12,409.32	Facility		$55.00	$10,427.01	$12,409.32