Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,238.72 / $12,589.25	Facility		$457.09	$2,238.72	$12,589.25
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,698.24 / $5,754.40 / $16,982.44	Facility	50	$1,698.24	$5,754.40	$16,982.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $524.81 / $776.25	Facility		$446.68	$524.81	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $9,549.93 / $14,454.40	Facility		$3,548.13	$9,549.93	$14,454.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $13,803.84 / $13,803.84	Facility		$56.23	$13,803.84	$13,803.84