Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.81 / $4,083.88 / $8,442.00	Facility		$804.81	$4,083.88	$8,442.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $804.81 / $909.05 / $1,506.00	Facility		$804.81	$909.05	$1,506.00
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 $3,787.80 / $11,879.05 / $26,542.00	Facility		$3,787.80	$11,879.05	$26,542.00