Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $885.21 / $1,449.38 / $8,413.00	Facility		$885.21	$1,449.38	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $885.21 / $1,072.00 / $1,636.00	Facility		$885.21	$1,072.00	$1,636.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,008.43 / $9,001.70 / $26,542.00	Facility		$5,008.43	$9,001.70	$26,542.00