Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,322.10 / $4,211.05 / $15,291.00	Facility		$1,322.10	$4,211.05	$15,291.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,322.10 / $1,671.17 / $3,311.50	Facility		$1,322.10	$1,671.17	$3,311.50
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 $7,348.80 / $16,547.20 / $26,542.00	Facility		$7,348.80	$16,547.20	$26,542.00