Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $964.84 / $1,575.70 / $10,561.00	Facility		$964.84	$1,575.70	$10,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $974.00 / $1,250.73 / $1,704.00	Facility		$974.00	$1,250.73	$1,704.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,589.96 / $11,102.00 / $26,542.00	Facility		$5,589.96	$11,102.00	$26,542.00