Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,374.32 / $8,977.00 / $11,986.00	Facility		$1,374.32	$8,977.00	$11,986.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,240.90 / $12,240.90 / $12,240.90	Facility	50	$12,240.90	$12,240.90	$12,240.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,116.09 / $1,431.21 / $2,251.92	Facility		$1,116.09	$1,431.21	$2,251.92
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,674.15 / $2,146.82 / $4,325.28	Facility	50	$1,674.15	$2,146.82	$4,325.28
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $223.22 / $286.24 / $576.70	Facility	80	$223.22	$286.24	$576.70
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $156.25 / $200.37 / $403.69	Facility	AS	$156.25	$200.37	$403.69
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,554.00 / $22,715.00	Facility		$5,293.00	$12,554.00	$22,715.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $6,612.54 / $15,214.55	Facility		$5,897.00	$6,612.54	$15,214.55
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $260.87 / $1,442.13 / $1,442.13	Facility	AS	$260.87	$1,442.13	$1,442.13