Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $8,912.51 / $14,454.40	Facility		$2,041.74	$8,912.51	$14,454.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $3,019.95	Facility		$1,412.54	$1,905.46	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $12,302.69 / $19,054.61	Facility		$4,466.84	$12,302.69	$19,054.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $33,884.42	Facility		$16,595.87	$16,595.87	$33,884.42