Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,083.58 / $1,615.00 / $7,439.00	Facility		$1,083.58	$1,615.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,083.58 / $1,378.37 / $2,863.99	Facility		$1,083.58	$1,378.37	$2,863.99
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 / $11,625.57 / $13,844.05	Facility		$55.00	$11,625.57	$13,844.05
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $1,499.43 / $3,388.65 / $3,388.65	Facility	62	$1,499.43	$3,388.65	$3,388.65