Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,089.40 / $5,247.42 / $15,291.00	Facility		$1,089.40	$5,247.42	$15,291.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $919.30 / $1,334.00 / $2,457.00	Facility		$919.30	$1,334.00	$2,457.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $186.80 / $270.73 / $501.20	Facility	80	$186.80	$270.73	$501.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,115.37 / $12,081.00 / $19,066.00	Facility		$3,115.37	$12,081.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,061.58 / $11,879.05 / $26,542.00	Facility		$6,061.58	$11,879.05	$26,542.00