Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,697.64 / $7,996.06 / $12,472.35	Facility		$2,697.64	$7,996.06	$12,472.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $758.97 / $956.19 / $1,891.56	Facility		$758.97	$956.19	$1,891.56
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $15,545.00 / $22,780.00	Facility		$6,688.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,077.72 / $10,160.00 / $16,223.75	Facility		$5,077.72	$10,160.00	$16,223.75