Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $7,968.00 / $12,497.45	Facility		$1,615.00	$7,968.00	$12,497.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $805.36 / $1,343.15 / $2,034.74	Facility		$805.36	$1,343.15	$2,034.74
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $262.14 / $297.55 / $408.72	Facility	80	$262.14	$297.55	$408.72
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,559.28 / $14,302.50	Facility		$55.00	$4,559.28	$14,302.50