Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $4,706.72 / $7,684.78	Facility		$1,615.00	$4,706.72	$7,684.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,767.00 / $5,085.00 / $11,098.72	Facility		$3,767.00	$5,085.00	$11,098.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $93,103.29 / $112,053.90	Facility		$55.00	$93,103.29	$112,053.90
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $6,651.76 / $14,043.08 / $14,043.08	Facility	62	$6,651.76	$14,043.08	$14,043.08