Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.26 / $3,774.41 / $7,595.79	Facility		$287.26	$3,774.41	$7,595.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $287.26 / $551.72 / $755.18	Facility		$287.26	$551.72	$755.18
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,355.00	Facility		$361.00	$896.00	$2,355.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $626.39 / $1,319.37 / $8,734.00	Facility		$626.39	$1,319.37	$8,734.00