Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,495.41 / $12,589.25	Facility		$1,659.59	$5,495.41	$12,589.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,344.23	Facility		$1,148.15	$1,513.56	$2,344.23
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 / $42,657.95	Facility		$16,595.87	$16,595.87	$42,657.95