Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.71 / $10,087.00 / $11,986.00	Facility		$461.71	$10,087.00	$11,986.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,789.97 / $5,762.50 / $17,979.00	Facility	50	$1,789.97	$5,762.50	$17,979.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $461.71 / $641.02 / $1,109.91	Facility		$461.71	$641.02	$1,109.91
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $961.53 / $961.53 / $1,739.69	Facility	50	$961.53	$961.53	$1,739.69
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 $2,597.04 / $5,897.00 / $13,759.35	Facility		$2,597.04	$5,897.00	$13,759.35