Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.01 / $1,328.03 / $10,561.00	Facility		$813.01	$1,328.03	$10,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $813.01 / $1,018.12 / $1,497.73	Facility		$813.01	$1,018.12	$1,497.73
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 $5,352.13 / $10,674.70 / $26,542.00	Facility		$5,352.13	$10,674.70	$26,542.00