Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,548.61 / $6,953.60	Facility		$1,615.00	$2,548.61	$6,953.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,296.00 / $3,029.43 / $4,483.37	Facility		$2,296.00	$3,029.43	$4,483.37
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $459.20 / $599.54 / $925.90	Facility	80	$459.20	$599.54	$925.90
United Facility/Professional Facility Modifier Low / Median / High Price $301.00 / $661.00 / $4,877.00	Facility		$301.00	$661.00	$4,877.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $39,410.56 / $47,892.16	Facility		$55.00	$39,410.56	$47,892.16