Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.79 / $1,635.00 / $10,561.00	Facility		$1,080.79	$1,635.00	$10,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,053.60 / $1,424.82 / $2,603.31	Facility		$1,053.60	$1,424.82	$2,603.31
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,137.23 / $2,137.23 / $4,080.93	Facility	50	$2,137.23	$2,137.23	$4,080.93
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 $55.00 / $7,127.82 / $16,547.20	Facility		$55.00	$7,127.82	$16,547.20