Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $4,570.88 / $14,454.40	Facility		$1,659.59	$4,570.88	$14,454.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $2,570.40	Facility		$1,202.26	$1,479.11	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $12,302.69 / $19,054.61	Facility		$4,168.69	$12,302.69	$19,054.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $14,791.08 / $33,884.42	Facility		$14,791.08	$14,791.08	$33,884.42