Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,050.73 / $1,615.38 / $12,615.00	Facility		$1,050.73	$1,615.38	$12,615.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,004.00 / $1,311.03 / $2,621.00	Facility		$1,004.00	$1,311.03	$2,621.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,504.51 / $12,081.00 / $19,066.00	Facility		$4,504.51	$12,081.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,852.22 / $16,547.20 / $26,542.00	Facility		$5,852.22	$16,547.20	$26,542.00