Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $5,786.76 / $17,160.55	Facility		$1,245.00	$5,786.76	$17,160.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,205.28 / $1,446.34 / $2,381.48	Facility		$1,205.28	$1,446.34	$2,381.48
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $233.57 / $289.88 / $504.20	Facility	80	$233.57	$289.88	$504.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,115.37 / $12,081.00 / $19,066.00	Facility		$3,115.37	$12,081.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $7,907.90 / $11,879.05 / $26,542.00	Facility		$7,907.90	$11,879.05	$26,542.00