Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.35 / $9,027.49 / $28,032.54	Facility		$870.35	$9,027.49	$28,032.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $870.35 / $1,320.80 / $2,187.83	Facility		$870.35	$1,320.80	$2,187.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,442.60 / $14,893.00 / $22,780.00	Facility		$4,442.60	$14,893.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,723.90 / $16,223.75 / $26,542.00	Facility		$5,723.90	$16,223.75	$26,542.00