Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $709.92 / $1,849.00 / $12,615.00	Facility		$709.92	$1,849.00	$12,615.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $614.29 / $709.92 / $1,130.55	Facility		$614.29	$709.92	$1,130.55
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,545.00 / $22,780.00	Facility		$4,015.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,255.58 / $1,330.08 / $3,925.20	Facility		$1,255.58	$1,330.08	$3,925.20