Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $1,889.22 / $7,439.00	Facility		$1,615.00	$1,889.22	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,739.53 / $2,839.31 / $3,906.61	Facility		$1,739.53	$2,839.31	$3,906.61
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $491.41 / $607.96 / $811.55	Facility	80	$491.41	$607.96	$811.55
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 / $17,830.34 / $21,422.17	Facility		$55.00	$17,830.34	$21,422.17
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $2,450.19 / $2,641.99 / $5,089.33	Facility	62	$2,450.19	$2,641.99	$5,089.33