Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.87 / $5,017.00 / $10,561.00	Facility		$846.87	$5,017.00	$10,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $846.87 / $1,169.58 / $2,086.60	Facility		$846.87	$1,169.58	$2,086.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,502.63 / $10,168.04 / $43,926.00	Facility		$5,502.63	$10,168.04	$43,926.00