Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.42 / $1,933.00 / $15,291.00	Facility		$793.42	$1,933.00	$15,291.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $793.42 / $1,002.81 / $1,990.49	Facility		$793.42	$1,002.81	$1,990.49
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 $4,419.18 / $7,909.30 / $26,542.00	Facility		$4,419.18	$7,909.30	$26,542.00