Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.87 / $3,561.32 / $8,527.61	Facility		$447.87	$3,561.32	$8,527.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,045.83 / $2,653.20 / $10,074.65	Facility	50	$1,045.83	$2,653.20	$10,074.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $348.00 / $552.57 / $800.19	Facility		$348.00	$552.57	$800.19
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $522.00 / $828.86 / $1,236.10	Facility	50	$522.00	$828.86	$1,236.10
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 $2,067.52 / $6,817.20 / $12,000.00	Facility		$2,067.52	$6,817.20	$12,000.00