Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.14 / $688.43 / $7,439.00	Facility		$387.14	$688.43	$7,439.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,310.66 / $2,997.00 / $6,120.45	Facility	50	$1,310.66	$2,997.00	$6,120.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $387.14 / $493.33 / $705.72	Facility		$387.14	$493.33	$705.72
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $650.28 / $775.62 / $1,344.36	Facility	50	$650.28	$775.62	$1,344.36
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $775.62 / $775.62 / $775.62	Professional	50	$775.62	$775.62	$775.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,730.72 / $2,730.72 / $26,542.00	Facility		$2,730.72	$2,730.72	$26,542.00