Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.34 / $1,494.02 / $7,439.00	Facility		$914.34	$1,494.02	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $914.34 / $1,285.28 / $2,319.69	Facility		$914.34	$1,285.28	$2,319.69
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 $3,451.24 / $16,394.00 / $27,110.45	Facility		$3,451.24	$16,394.00	$27,110.45