Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.48 / $1,179.56 / $7,439.00	Facility		$749.48	$1,179.56	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $749.48 / $1,143.75 / $1,646.59	Facility		$749.48	$1,143.75	$1,646.59
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 $11,319.84 / $11,933.00 / $13,693.60	Facility		$11,319.84	$11,933.00	$13,693.60