Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,819.70 / $7,244.36	Facility		$354.81	$1,819.70	$7,244.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $426.58 / $691.83	Facility		$354.81	$426.58	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,244.36 / $10,471.29	Facility		$1,995.26	$7,244.36	$10,471.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $28,840.32	Facility		$5,754.40	$5,754.40	$28,840.32