Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.39 / $1,615.00 / $12,615.00	Facility		$617.39	$1,615.00	$12,615.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $599.12 / $763.00 / $990.51	Facility		$599.12	$763.00	$990.51
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 $3,477.54 / $6,887.55 / $26,542.00	Facility		$3,477.54	$6,887.55	$26,542.00