Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,346.38 / $5,547.90 / $11,525.00	Facility		$2,346.38	$5,547.90	$11,525.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,883.00 / $5,993.00 / $16,615.50	Facility	50	$1,883.00	$5,993.00	$16,615.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,128.51 / $1,906.46 / $2,994.32	Facility		$1,128.51	$1,906.46	$2,994.32
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,803.00 / $2,859.69 / $4,291.93	Facility	50	$1,803.00	$2,859.69	$4,291.93
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $168.28 / $266.89 / $400.58	Facility	AS	$168.28	$266.89	$400.58
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 $6,487.20 / $26,542.00 / $30,159.95	Facility		$6,487.20	$26,542.00	$30,159.95
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $265.17 / $2,858.74 / $2,858.74	Facility	AS	$265.17	$2,858.74	$2,858.74