Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.80 / $1,338.00 / $8,413.00	Facility		$498.80	$1,338.00	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $454.00 / $601.29 / $1,276.11	Facility		$454.00	$601.29	$1,276.11
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,081.00 / $18,765.00	Facility		$5,293.00	$12,081.00	$18,765.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,976.24 / $17,524.30 / $26,542.00	Facility		$2,976.24	$17,524.30	$26,542.00