Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $1,948.99 / $7,439.00	Facility		$1,615.00	$1,948.99	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,738.24 / $2,472.44 / $4,231.25	Facility		$1,738.24	$2,472.44	$4,231.25
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $494.00 / $494.49 / $825.00	Facility	80	$494.00	$494.49	$825.00
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 / $25,908.16 / $31,044.16	Facility		$55.00	$25,908.16	$31,044.16