Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,365.16 / $7,585.78	Facility		$831.76	$4,365.16	$7,585.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $1,348.96	Facility		$630.96	$758.58	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,244.36 / $10,471.29	Facility		$1,995.26	$7,244.36	$10,471.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $28,840.32	Facility		$6,918.31	$6,918.31	$28,840.32