Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,659.59 / $8,709.64	Facility		$776.25	$1,659.59	$8,709.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,621.81	Facility		$776.25	$1,047.13	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,890.45 / $6,918.31	Facility		$1,174.90	$3,890.45	$6,918.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $14,125.38 / $14,125.38	Facility		$56.23	$14,125.38	$14,125.38