Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.09 / $5,796.94 / $9,957.92	Facility		$1,400.09	$5,796.94	$9,957.92
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,733.69 / $5,518.55 / $9,197.58	Facility	50	$1,733.69	$5,518.55	$9,197.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $883.39 / $1,170.30 / $1,853.08	Facility		$883.39	$1,170.30	$1,853.08
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,325.09 / $1,801.19 / $3,514.99	Facility	50	$1,325.09	$1,801.19	$3,514.99
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $176.68 / $240.16 / $468.67	Facility	80	$176.68	$240.16	$468.67
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $123.67 / $164.29 / $328.07	Facility	AS	$123.67	$164.29	$328.07
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,590.04 / $15,214.55 / $26,542.00	Facility		$3,590.04	$15,214.55	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $212.10 / $1,442.13 / $1,442.13	Facility	AS	$212.10	$1,442.13	$1,442.13