Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.00 / $6,303.41 / $10,034.00	Facility		$1,635.00	$6,303.41	$10,034.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,795.03 / $8,533.00 / $15,686.92	Facility	50	$5,795.03	$8,533.00	$15,686.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,066.93 / $1,626.97 / $2,686.50	Facility		$1,066.93	$1,626.97	$2,686.50
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,062.16 / $2,887.50 / $4,029.74	Facility	50	$2,062.16	$2,887.50	$4,029.74
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $174.67 / $269.50 / $376.11	Facility	AS	$174.67	$269.50	$376.11
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,109.74 / $15,214.55 / $26,542.00	Facility		$6,109.74	$15,214.55	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $247.97 / $1,442.13 / $1,442.13	Facility	AS	$247.97	$1,442.13	$1,442.13