Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.12 / $4,311.00 / $14,574.10	Facility		$87.12	$4,311.00	$14,574.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.12 / $189.12 / $303.88	Facility		$87.12	$189.12	$303.88
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $205.19 / $439.79 / $1,245.63	Facility		$205.19	$439.79	$1,245.63