Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,209.68 / $12,247.00 / $14,528.00	Facility		$1,209.68	$12,247.00	$14,528.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,209.68 / $1,626.00 / $3,025.97	Facility		$1,209.68	$1,626.00	$3,025.97
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 $6,723.00 / $16,547.20 / $26,542.00	Facility		$6,723.00	$16,547.20	$26,542.00