Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.57 / $1,338.00 / $8,413.00	Facility		$794.57	$1,338.00	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $794.57 / $995.27 / $1,978.41	Facility		$794.57	$995.27	$1,978.41
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,392.96 / $16,547.20 / $26,542.00	Facility		$4,392.96	$16,547.20	$26,542.00