Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $4,073.80 / $9,549.93	Facility		$812.83	$4,073.80	$9,549.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,659.59	Facility		$812.83	$1,000.00	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $12,302.69 / $19,054.61	Facility		$4,168.69	$12,302.69	$19,054.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $33,884.42	Facility		$11,748.98	$11,748.98	$33,884.42