Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,844.20 / $6,953.60	Facility		$1,615.00	$2,844.20	$6,953.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,076.00 / $2,619.25 / $5,522.73	Facility		$2,076.00	$2,619.25	$5,522.73
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 / $23,474.04 / $28,708.08	Facility		$55.00	$23,474.04	$28,708.08