Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.02 / $1,046.38 / $10,561.00	Facility		$644.02	$1,046.38	$10,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $644.02 / $732.00 / $1,151.00	Facility		$644.02	$732.00	$1,151.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,625.14 / $14,907.95 / $26,542.00	Facility		$3,625.14	$14,907.95	$26,542.00