Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.84 / $3,192.00 / $7,535.00	Facility		$411.84	$3,192.00	$7,535.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,331.60 / $3,979.33 / $7,219.90	Facility	50	$1,331.60	$3,979.33	$7,219.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $151.32 / $151.32 / $454.91	Professional	50	$151.32	$151.32	$454.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $393.81 / $459.10 / $978.01	Facility		$393.81	$459.10	$978.01
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $593.17 / $683.12 / $1,487.80	Facility	50	$593.17	$683.12	$1,487.80
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $683.12 / $683.12 / $683.12	Professional	50	$683.12	$683.12	$683.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,291.10 / $7,909.30 / $26,542.00	Facility		$2,291.10	$7,909.30	$26,542.00