Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.63 / $3,331.49 / $9,459.00	Facility		$675.63	$3,331.49	$9,459.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $909.59 / $5,388.92 / $10,034.00	Facility	50	$909.59	$5,388.92	$10,034.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $602.00 / $848.71 / $1,655.63	Facility		$602.00	$848.71	$1,655.63
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $903.00 / $1,251.85 / $2,483.44	Facility	50	$903.00	$1,251.85	$2,483.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,765.18 / $8,723.79 / $26,542.00	Facility		$3,765.18	$8,723.79	$26,542.00