Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,659.59 / $8,709.64	Facility		$812.83	$1,659.59	$8,709.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,202.26 / $2,089.30	Facility		$812.83	$1,202.26	$2,089.30
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 / $14,791.08 / $14,791.08	Facility		$56.23	$14,791.08	$14,791.08