Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.11 / $1,338.00 / $8,413.00	Facility		$659.11	$1,338.00	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $659.11 / $987.00 / $1,412.00	Facility		$659.11	$987.00	$1,412.00
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 $3,737.64 / $11,879.05 / $26,542.00	Facility		$3,737.64	$11,879.05	$26,542.00