Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.79 / $1,245.00 / $7,439.00	Facility		$383.79	$1,245.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $367.84 / $490.57 / $959.21	Facility		$367.84	$490.57	$959.21
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 $2,137.38 / $16,394.00 / $16,547.20	Facility		$2,137.38	$16,394.00	$16,547.20