Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,166.46 / $4,001.00 / $9,459.00	Facility		$1,166.46	$4,001.00	$9,459.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,195.47 / $8,585.54 / $9,257.90	Facility	50	$5,195.47	$8,585.54	$9,257.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $771.85 / $997.79 / $1,948.86	Facility		$771.85	$997.79	$1,948.86
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,170.00 / $1,422.42 / $2,952.00	Facility	50	$1,170.00	$1,422.42	$2,952.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $109.20 / $132.76 / $272.83	Facility	AS	$109.20	$132.76	$272.83
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 $4,433.64 / $15,214.55 / $26,542.00	Facility		$4,433.64	$15,214.55	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $179.89 / $1,442.13 / $1,442.13	Facility	AS	$179.89	$1,442.13	$1,442.13