Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.11 / $1,872.00 / $7,194.14	Facility		$739.11	$1,872.00	$7,194.14
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,374.32 / $3,136.65 / $9,027.65	Facility	50	$1,374.32	$3,136.65	$9,027.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $410.00 / $813.02 / $1,712.22	Facility		$410.00	$813.02	$1,712.22
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $615.00 / $1,439.09 / $2,847.87	Facility	50	$615.00	$1,439.09	$2,847.87
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 $4,254.47 / $15,214.55 / $16,394.00	Facility		$4,254.47	$15,214.55	$16,394.00