Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $701.44 / $1,933.00 / $15,291.00	Facility		$701.44	$1,933.00	$15,291.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $701.44 / $909.06 / $1,762.03	Facility		$701.44	$909.06	$1,762.03
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,920.34 / $16,547.20 / $26,542.00	Facility		$3,920.34	$16,547.20	$26,542.00