Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.95 / $2,675.00 / $8,413.00	Facility		$196.95	$2,675.00	$8,413.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.25 / $1,465.54 / $2,377.98	Facility	50	$0.25	$1,465.54	$2,377.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $196.95 / $358.14 / $536.02	Facility		$196.95	$358.14	$536.02
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $450.39 / $540.00 / $814.50	Facility	50	$450.39	$540.00	$814.50
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 $1,110.59 / $13,759.35 / $26,542.00	Facility		$1,110.59	$13,759.35	$26,542.00