Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $997.36 / $1,631.92 / $8,413.00	Facility		$997.36	$1,631.92	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $997.36 / $1,307.70 / $2,489.58	Facility		$997.36	$1,307.70	$2,489.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,541.42 / $16,547.20 / $26,542.00	Facility		$5,541.42	$16,547.20	$26,542.00