Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.34 / $1,016.54 / $7,572.19	Facility		$531.34	$1,016.54	$7,572.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $531.34 / $759.74 / $1,105.69	Facility		$531.34	$759.74	$1,105.69
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 $3,772.50 / $3,772.50 / $16,394.00	Facility		$3,772.50	$3,772.50	$16,394.00