Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,738.77 / $2,893.63 / $15,291.00	Facility		$1,738.77	$2,893.63	$15,291.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,792.29 / $2,514.00 / $4,564.00	Facility		$1,792.29	$2,514.00	$4,564.00
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 $15,183.63 / $18,645.84 / $24,000.00	Facility		$15,183.63	$18,645.84	$24,000.00