Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.96 / $5,993.00 / $11,986.00	Facility		$489.96	$5,993.00	$11,986.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,635.80 / $5,014.24 / $12,514.99	Facility	50	$1,635.80	$5,014.24	$12,514.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $489.96 / $679.24 / $1,175.67	Facility		$489.96	$679.24	$1,175.67
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,018.86 / $1,018.86 / $1,844.94	Facility	50	$1,018.86	$1,018.86	$1,844.94
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 $2,749.74 / $5,897.00 / $13,759.35	Facility		$2,749.74	$5,897.00	$13,759.35