Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.10 / $1,933.00 / $12,247.00	Facility		$1,210.10	$1,933.00	$12,247.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,210.10 / $1,430.53 / $2,174.00	Facility		$1,210.10	$1,430.53	$2,174.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $234.38 / $291.52 / $434.80	Facility	80	$234.38	$291.52	$434.80
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $10,968.00 / $17,964.00	Facility		$5,293.00	$10,968.00	$17,964.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $7,926.03 / $11,879.05 / $26,542.00	Facility		$7,926.03	$11,879.05	$26,542.00