Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.64 / $1,245.00 / $8,413.00	Facility		$727.64	$1,245.00	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $698.27 / $814.96 / $1,059.22	Facility		$698.27	$814.96	$1,059.22
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,000.68 / $9,001.70 / $26,542.00	Facility		$4,000.68	$9,001.70	$26,542.00