Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,504.67 / $1,662.64 / $7,439.00	Facility		$1,504.67	$1,662.64	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,504.67 / $2,125.86 / $3,488.65	Facility		$1,504.67	$2,125.86	$3,488.65
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 / $22,327.68 / $26,793.92	Facility		$55.00	$22,327.68	$26,793.92