Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,064.71 / $1,628.36 / $10,561.00	Facility		$1,064.71	$1,628.36	$10,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,064.71 / $1,263.00 / $1,664.00	Facility		$1,064.71	$1,263.00	$1,664.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,353.00 / $6,575.00 / $9,616.00	Facility		$2,353.00	$6,575.00	$9,616.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,967.72 / $7,475.82 / $26,542.00	Facility		$5,967.72	$7,475.82	$26,542.00