Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,621.81 / $6,165.95	Facility		$436.52	$1,621.81	$6,165.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $457.09 / $758.58	Facility		$275.42	$457.09	$758.58
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 / $19,498.45	Facility		$5,754.40	$5,754.40	$19,498.45