Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $780.27 / $1,338.00 / $8,413.00	Facility		$780.27	$1,338.00	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $780.27 / $1,089.42 / $1,981.74	Facility		$780.27	$1,089.42	$1,981.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,956.56 / $14,302.50 / $26,542.00	Facility		$2,956.56	$14,302.50	$26,542.00