Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,184.64 / $1,980.36 / $7,968.00	Facility		$1,184.64	$1,980.36	$7,968.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,184.64 / $1,566.07 / $2,188.92	Facility		$1,184.64	$1,566.07	$2,188.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,093.92 / $6,777.96 / $26,542.00	Facility		$6,093.92	$6,777.96	$26,542.00