Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,142.72 / $3,875.00 / $10,924.00	Facility		$1,142.72	$3,875.00	$10,924.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,142.72 / $1,451.41 / $2,863.63	Facility		$1,142.72	$1,451.41	$2,863.63
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 $6,338.94 / $16,547.20 / $26,542.00	Facility		$6,338.94	$16,547.20	$26,542.00