Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,639.03 / $10,404.00 / $14,528.00	Facility		$1,639.03	$10,404.00	$14,528.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,639.04 / $2,126.29 / $4,097.68	Facility		$1,639.04	$2,126.29	$4,097.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $10,810.03 / $13,197.80	Facility		$5,897.00	$10,810.03	$13,197.80