Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $884.81 / $1,439.50 / $3,601.32	Facility		$884.81	$1,439.50	$3,601.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $884.81 / $1,212.95 / $2,194.38	Facility		$884.81	$1,212.95	$2,194.38
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $221.40 / $228.49 / $438.88	Facility	80	$221.40	$228.49	$438.88
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 / $6,762.00 / $8,066.56	Facility		$55.00	$6,762.00	$8,066.56