Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $2,187.08 / $6,953.60	Facility		$1,245.00	$2,187.08	$6,953.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,535.59 / $2,073.26 / $3,847.30	Facility		$1,535.59	$2,073.26	$3,847.30
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 / $17,342.16 / $21,067.08	Facility		$55.00	$17,342.16	$21,067.08
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $2,146.05 / $4,762.79 / $4,762.79	Facility	62	$2,146.05	$4,762.79	$4,762.79