Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,445.44 / $8,317.64	Facility		$446.68	$1,445.44	$8,317.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,318.26 / $3,019.95 / $12,022.64	Facility	50	$1,318.26	$3,019.95	$12,022.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $562.34 / $562.34 / $3,630.78	Professional	50	$562.34	$562.34	$3,630.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $478.63 / $645.65	Facility		$371.54	$478.63	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,890.45 / $6,760.83	Facility		$1,380.38	$3,890.45	$6,760.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $45,708.82	Facility		$5,623.41	$5,623.41	$45,708.82