Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $5,296.79 / $10,034.00	Facility		$1,245.00	$5,296.79	$10,034.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,047.77 / $1,396.82 / $1,830.77	Facility		$1,047.77	$1,396.82	$1,830.77
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $203.53 / $282.39 / $308.36	Facility	80	$203.53	$282.39	$308.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,935.62 / $7,437.36 / $26,542.00	Facility		$5,935.62	$7,437.36	$26,542.00