Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.56 / $1,292.33 / $8,413.00	Facility		$876.56	$1,292.33	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $827.00 / $949.28 / $1,280.55	Facility		$827.00	$949.28	$1,280.55
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 $5,692.40 / $11,879.05 / $26,542.00	Facility		$5,692.40	$11,879.05	$26,542.00