Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $3,767.50 / $7,968.67	Facility		$1,245.00	$3,767.50	$7,968.67
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,307.19 / $6,036.63 / $11,529.00	Facility	50	$3,307.19	$6,036.63	$11,529.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $742.01 / $1,128.85 / $1,875.06	Facility		$742.01	$1,128.85	$1,875.06
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,219.50 / $1,693.29 / $2,812.58	Facility	50	$1,219.50	$1,693.29	$2,812.58
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $113.82 / $158.04 / $262.51	Facility	AS	$113.82	$158.04	$262.51
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 $4,262.34 / $18,005.20 / $26,542.00	Facility		$4,262.34	$18,005.20	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $173.77 / $1,706.64 / $1,706.64	Facility	AS	$173.77	$1,706.64	$1,706.64