Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.82 / $1,615.00 / $10,561.00	Facility		$797.82	$1,615.00	$10,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $797.82 / $1,008.74 / $2,002.96	Facility		$797.82	$1,008.74	$2,002.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,444.85 / $7,909.30 / $26,542.00	Facility		$4,444.85	$7,909.30	$26,542.00