Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,576.37 / $1,673.71 / $7,439.00	Facility		$1,576.37	$1,673.71	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,576.37 / $2,145.11 / $3,848.42	Facility		$1,576.37	$2,145.11	$3,848.42
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 / $23,885.12 / $28,708.16	Facility		$55.00	$23,885.12	$28,708.16