Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.48 / $1,245.00 / $8,413.00	Facility		$356.48	$1,245.00	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $374.86 / $1,249.56 / $2,321.10	Facility		$374.86	$1,249.56	$2,321.10
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $14,893.00 / $22,265.00	Facility		$6,688.00	$14,893.00	$22,265.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,028.00 / $2,028.00 / $26,542.00	Facility		$2,028.00	$2,028.00	$26,542.00