Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $979.45 / $2,675.00 / $8,413.00	Facility		$979.45	$2,675.00	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $979.45 / $1,273.64 / $2,446.63	Facility		$979.45	$1,273.64	$2,446.63
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 $5,472.84 / $5,897.00 / $11,644.00	Facility		$5,472.84	$5,897.00	$11,644.00