Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.40 / $3,875.00 / $12,615.00	Facility		$1,584.40	$3,875.00	$12,615.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,584.40 / $2,015.58 / $3,494.92	Facility		$1,584.40	$2,015.58	$3,494.92
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $356.20 / $403.12 / $792.87	Facility	80	$356.20	$403.12	$792.87
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 $10,160.00 / $12,152.96 / $14,755.36	Facility		$10,160.00	$12,152.96	$14,755.36