Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,326.62 / $2,518.23 / $15,291.00	Facility		$1,326.62	$2,518.23	$15,291.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,326.62 / $2,418.84 / $3,612.90	Facility		$1,326.62	$2,418.84	$3,612.90
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $448.59 / $550.00 / $722.58	Facility	80	$448.59	$550.00	$722.58
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 / $9,989.68 / $12,360.32	Facility		$55.00	$9,989.68	$12,360.32