Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,949.84 / $7,585.78	Facility		$676.08	$1,949.84	$7,585.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $660.69 / $1,047.13	Facility		$512.86	$660.69	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,890.45 / $6,760.83	Facility		$1,737.80	$3,890.45	$6,760.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $17,378.01 / $19,498.45	Facility		$17,378.01	$17,378.01	$19,498.45