Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.39 / $1,556.78 / $7,439.00	Facility		$950.39	$1,556.78	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $950.39 / $1,260.74 / $2,523.06	Facility		$950.39	$1,260.74	$2,523.06
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 / $10,191.28 / $12,127.94	Facility		$55.00	$10,191.28	$12,127.94