Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.24 / $1,020.00 / $8,413.00	Facility		$410.24	$1,020.00	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $399.15 / $531.73 / $827.75	Facility		$399.15	$531.73	$827.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,720.62 / $6,887.55 / $26,542.00	Facility		$2,720.62	$6,887.55	$26,542.00