Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,139.96 / $10,924.00 / $15,227.73	Facility		$1,139.96	$10,924.00	$15,227.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,139.96 / $1,831.35 / $3,004.21	Facility		$1,139.96	$1,831.35	$3,004.21
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $318.80 / $366.27 / $578.08	Facility	80	$318.80	$366.27	$578.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,602.00 / $10,645.28	Facility		$55.00	$8,602.00	$10,645.28