Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,341.48 / $4,350.00 / $13,764.00	Facility		$1,341.48	$4,350.00	$13,764.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,170.91 / $1,341.48 / $2,142.60	Facility		$1,170.91	$1,341.48	$2,142.60
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,545.00 / $22,780.00	Facility		$4,015.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,372.33 / $2,493.04 / $7,423.00	Facility		$2,372.33	$2,493.04	$7,423.00