Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,338.03 / $2,152.16 / $16,169.92	Facility		$1,338.03	$2,152.16	$16,169.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,338.03 / $1,736.20 / $3,344.64	Facility		$1,338.03	$1,736.20	$3,344.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $16,407.30 / $20,004.00	Facility		$5,897.00	$16,407.30	$20,004.00