Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.78 / $1,615.00 / $10,561.00	Facility		$584.78	$1,615.00	$10,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $584.78 / $729.39 / $1,472.91	Facility		$584.78	$729.39	$1,472.91
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 $3,289.80 / $16,547.20 / $26,542.00	Facility		$3,289.80	$16,547.20	$26,542.00