Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,143.11 / $1,850.30 / $10,561.00	Facility		$1,143.11	$1,850.30	$10,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,143.11 / $1,495.00 / $1,949.00	Facility		$1,143.11	$1,495.00	$1,949.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $222.10 / $299.00 / $351.69	Facility	80	$222.10	$299.00	$351.69
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 $6,481.92 / $8,122.08 / $26,542.00	Facility		$6,481.92	$8,122.08	$26,542.00