Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.24 / $1,245.00 / $15,291.00	Facility		$642.24	$1,245.00	$15,291.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $642.24 / $706.46 / $985.35	Facility		$642.24	$706.46	$985.35
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 $3,673.92 / $5,819.45 / $26,542.00	Facility		$3,673.92	$5,819.45	$26,542.00