Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.16 / $1,615.00 / $10,561.00	Facility		$798.16	$1,615.00	$10,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $798.16 / $1,009.18 / $2,008.57	Facility		$798.16	$1,009.18	$2,008.57
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 $4,446.66 / $7,909.30 / $26,542.00	Facility		$4,446.66	$7,909.30	$26,542.00