Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.74 / $3,331.50 / $8,602.02	Facility		$951.74	$3,331.50	$8,602.02
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $739.59 / $5,621.62 / $9,576.00	Facility	50	$739.59	$5,621.62	$9,576.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $724.13 / $973.59	Facility		$515.00	$724.13	$973.59
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $772.50 / $1,108.05 / $1,467.53	Facility	50	$772.50	$1,108.05	$1,467.53
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 $3,151.02 / $19,913.50 / $26,542.00	Facility		$3,151.02	$19,913.50	$26,542.00