Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $598.45 / $3,670.41 / $14,198.15	Facility		$598.45	$3,670.41	$14,198.15
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,231.99 / $8,432.00 / $12,857.13	Facility	50	$5,231.99	$8,432.00	$12,857.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $598.45 / $787.00 / $1,516.93	Facility		$598.45	$787.00	$1,516.93
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $940.50 / $1,180.50 / $2,275.39	Facility	50	$940.50	$1,180.50	$2,275.39
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $15,545.00 / $22,780.00	Facility		$6,688.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,450.66 / $18,005.20 / $26,542.00	Facility		$3,450.66	$18,005.20	$26,542.00