Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.32 / $7,623.72 / $11,986.00	Facility		$787.32	$7,623.72	$11,986.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,474.03 / $6,812.33 / $13,201.50	Facility	50	$2,474.03	$6,812.33	$13,201.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $690.00 / $979.10 / $1,988.00	Facility		$690.00	$979.10	$1,988.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,035.00 / $1,412.82 / $2,982.01	Facility	50	$1,035.00	$1,412.82	$2,982.01
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 $4,520.93 / $15,214.55 / $26,542.00	Facility		$4,520.93	$15,214.55	$26,542.00