Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,118.00 / $5,123.76 / $13,764.00	Facility		$2,118.00	$5,123.76	$13,764.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,084.41 / $3,119.55 / $4,632.10	Facility		$2,084.41	$3,119.55	$4,632.10
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $623.91 / $623.91 / $1,034.28	Facility	80	$623.91	$623.91	$1,034.28
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 / $22,747.01 / $27,284.51	Facility		$55.00	$22,747.01	$27,284.51
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $3,131.66 / $3,358.39 / $6,458.54	Facility	62	$3,131.66	$3,358.39	$6,458.54