Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $986.41 / $3,793.72 / $8,413.00	Facility		$986.41	$3,793.72	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $986.41 / $1,442.48 / $1,443.29	Facility		$986.41	$1,442.48	$1,443.29
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $283.26 / $288.50 / $288.50	Facility	80	$283.26	$288.50	$288.50
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 $2,150.00 / $2,150.00 / $16,967.80	Facility		$2,150.00	$2,150.00	$16,967.80