Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.21 / $651.78 / $5,261.25	Facility		$195.21	$651.78	$5,261.25
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $71.84 / $119.49 / $198.07	Facility	52	$71.84	$119.49	$198.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $143.68 / $296.52 / $578.70	Facility		$143.68	$296.52	$578.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,154.30 / $1,154.30 / $12,000.00	Facility		$1,154.30	$1,154.30	$12,000.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $564.34 / $564.34 / $564.34	Facility	52	$564.34	$564.34	$564.34