Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,242.92 / $2,118.00 / $13,764.00	Facility		$1,242.92	$2,118.00	$13,764.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,242.92 / $1,751.95 / $3,131.76	Facility		$1,242.92	$1,751.95	$3,131.76
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $15,545.00 / $22,780.00	Facility		$6,688.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $8,194.90 / $26,542.00 / $27,770.10	Facility		$8,194.90	$26,542.00	$27,770.10