Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.85 / $1,338.00 / $8,413.00	Facility		$771.85	$1,338.00	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $771.85 / $1,069.20 / $1,961.86	Facility		$771.85	$1,069.20	$1,961.86
United Facility/Professional Facility Modifier Low / Median / High Price $3,870.95 / $12,081.00 / $19,066.00	Facility		$3,870.95	$12,081.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,921.60 / $14,302.50 / $26,542.00	Facility		$2,921.60	$14,302.50	$26,542.00