Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $757.50 / $1,245.00 / $8,413.00	Facility		$757.50	$1,245.00	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $757.50 / $1,060.89 / $1,104.68	Facility		$757.50	$1,060.89	$1,104.68
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 $55.00 / $55.00 / $6,887.55	Facility		$55.00	$55.00	$6,887.55