Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.86 / $4,648.68 / $9,498.59	Facility		$339.86	$4,648.68	$9,498.59
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.70 / $643.51 / $5,518.55	Facility	50	$0.70	$643.51	$5,518.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $209.98 / $282.04 / $318.62	Facility		$209.98	$282.04	$318.62
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $411.02 / $423.06 / $552.70	Facility	50	$411.02	$423.06	$552.70
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $476.50 / $1,039.10	Facility		$55.00	$476.50	$1,039.10