Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.03 / $1,338.00 / $10,832.04	Facility		$548.03	$1,338.00	$10,832.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $548.03 / $613.79 / $889.00	Facility		$548.03	$613.79	$889.00
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 $3,628.31 / $6,887.55 / $26,542.00	Facility		$3,628.31	$6,887.55	$26,542.00