Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.71 / $2,675.00 / $7,993.00	Facility		$369.71	$2,675.00	$7,993.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,056.13 / $3,218.90 / $8,395.61	Facility	50	$1,056.13	$3,218.90	$8,395.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $369.71 / $773.25 / $1,033.08	Facility		$369.71	$773.25	$1,033.08
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $983.52 / $1,206.00 / $1,482.06	Facility	50	$983.52	$1,206.00	$1,482.06
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 $2,082.48 / $13,759.35 / $26,542.00	Facility		$2,082.48	$13,759.35	$26,542.00