Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,098.70 / $1,972.54 / $12,247.00	Facility		$1,098.70	$1,972.54	$12,247.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,098.70 / $1,230.54 / $1,930.00	Facility		$1,098.70	$1,230.54	$1,930.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $7,210.77 / $14,907.95 / $26,542.00	Facility		$7,210.77	$14,907.95	$26,542.00