Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $680.48 / $1,245.00 / $10,561.00	Facility		$680.48	$1,245.00	$10,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $680.48 / $753.86 / $1,070.27	Facility		$680.48	$753.86	$1,070.27
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 $3,207.95 / $6,887.55 / $26,542.00	Facility		$3,207.95	$6,887.55	$26,542.00