Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,046.43 / $7,968.00 / $28,353.85	Facility		$2,046.43	$7,968.00	$28,353.85
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,680.90 / $9,680.90 / $9,680.90	Facility	50	$9,680.90	$9,680.90	$9,680.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,660.67 / $3,445.69 / $7,057.94	Facility		$2,660.67	$3,445.69	$7,057.94
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $4,234.50 / $5,168.54 / $9,978.51	Facility	50	$4,234.50	$5,168.54	$9,978.51
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $564.60 / $689.14 / $1,330.47	Facility	80	$564.60	$689.14	$1,330.47
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $395.22 / $482.40 / $931.33	Facility	AS	$395.22	$482.40	$931.33
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 $5,897.00 / $15,105.12 / $18,514.91	Facility		$5,897.00	$15,105.12	$18,514.91
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $3,815.15 / $8,379.33 / $8,379.33	Facility	62	$3,815.15	$8,379.33	$8,379.33
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $610.41 / $1,340.69 / $1,340.69	Facility	AS	$610.41	$1,340.69	$1,340.69