Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,698.24 / $10,471.29	Facility		$407.38	$1,698.24	$10,471.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $302.00 / $562.34	Facility		$138.04	$302.00	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $812.83 / $1,949.84	Facility		$363.08	$812.83	$1,949.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $33,884.42	Facility		$2,137.96	$2,137.96	$33,884.42