Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,754.23 / $8,709.64	Facility		$1,698.24	$2,754.23	$8,709.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,511.89 / $4,168.69	Facility		$1,698.24	$2,511.89	$4,168.69
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 / $30,199.52 / $30,199.52	Facility		$56.23	$30,199.52	$30,199.52