Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,338.00 / $3,530.29 / $8,413.00	Facility		$1,338.00	$3,530.29	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,238.90 / $2,859.01 / $3,926.37	Facility		$2,238.90	$2,859.01	$3,926.37
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $477.20 / $588.50 / $750.05	Facility	80	$477.20	$588.50	$750.05
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 $2,000.00 / $12,615.60 / $15,523.68	Facility		$2,000.00	$12,615.60	$15,523.68
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $3,214.54 / $3,611.56 / $7,019.94	Facility	62	$3,214.54	$3,611.56	$7,019.94