Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,011.87 / $12,022.64	Facility		$3,162.28	$5,011.87	$12,022.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,265.80 / $6,456.54	Facility		$3,162.28	$4,265.80	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,890.45 / $6,918.31	Facility		$1,174.90	$3,890.45	$6,918.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $43,651.58 / $43,651.58	Facility		$56.23	$43,651.58	$43,651.58