Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,036.03 / $1,624.18 / $10,561.00	Facility		$1,036.03	$1,624.18	$10,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,036.03 / $1,459.71 / $1,571.81	Facility		$1,036.03	$1,459.71	$1,571.81
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $18,796.25	Facility		$55.00	$55.00	$18,796.25