Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.83 / $1,307.57 / $10,561.00	Facility		$811.83	$1,307.57	$10,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $811.83 / $981.00 / $1,421.00	Facility		$811.83	$981.00	$1,421.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,353.00 / $6,575.00 / $9,616.00	Facility		$2,353.00	$6,575.00	$9,616.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,567.14 / $6,887.55 / $26,542.00	Facility		$4,567.14	$6,887.55	$26,542.00