Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,354.05 / $2,186.59 / $15,291.00	Facility		$1,354.05	$2,186.59	$15,291.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,354.05 / $1,563.00 / $2,157.07	Facility		$1,354.05	$1,563.00	$2,157.07
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $14,893.00 / $22,780.00	Facility		$6,688.00	$14,893.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $8,896.16 / $26,542.00 / $62,665.40	Facility		$8,896.16	$26,542.00	$62,665.40