Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $1,998.55 / $7,439.00	Facility		$1,615.00	$1,998.55	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,822.50 / $2,576.92 / $4,267.56	Facility		$1,822.50	$2,576.92	$4,267.56
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $430.80 / $515.38 / $853.51	Facility	80	$430.80	$515.38	$853.51
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 / $27,326.56 / $32,773.28	Facility		$55.00	$27,326.56	$32,773.28