Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,495.41 / $15,135.61	Facility		$1,659.59	$5,495.41	$15,135.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,398.83	Facility		$1,148.15	$1,584.89	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $21,379.62 / $28,840.32	Facility		$8,912.51	$21,379.62	$28,840.32
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $22,387.21 / $22,387.21	Facility		$10,232.93	$22,387.21	$22,387.21