Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.86 / $1,615.00 / $12,615.00	Facility		$860.86	$1,615.00	$12,615.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $824.96 / $1,112.57 / $1,799.20	Facility		$824.96	$1,112.57	$1,799.20
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 $55.00 / $5,650.40 / $17,704.40	Facility		$55.00	$5,650.40	$17,704.40