Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,623.41 / $8,709.64	Facility		$1,659.59	$5,623.41	$8,709.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $4,677.35	Professional		$3,890.45	$3,890.45	$4,677.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $3,548.13	Facility		$2,041.74	$2,691.53	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $7,762.47 / $10,471.29	Facility		$2,511.89	$7,762.47	$10,471.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $15,488.17 / $15,488.17	Facility		$1,995.26	$15,488.17	$15,488.17
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Facility	62	$9,772.37	$9,772.37	$9,772.37