Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,031.53 / $1,696.37 / $8,442.00	Facility		$1,031.53	$1,696.37	$8,442.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,031.53 / $1,327.94 / $2,562.28	Facility		$1,031.53	$1,327.94	$2,562.28
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $258.64 / $264.00 / $512.46	Facility	80	$258.64	$264.00	$512.46
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,847.54 / $13,960.05	Facility		$55.00	$6,847.54	$13,960.05