Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.46 / $10,087.00 / $11,986.00	Facility		$1,170.46	$10,087.00	$11,986.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,170.46 / $1,474.71 / $2,911.34	Facility		$1,170.46	$1,474.71	$2,911.34
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 $6,505.86 / $16,547.20 / $26,542.00	Facility		$6,505.86	$16,547.20	$26,542.00