Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.90 / $1,128.11 / $4,376.00	Facility		$193.90	$1,128.11	$4,376.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,405.61 / $3,405.61 / $3,405.61	Facility	50	$3,405.61	$3,405.61	$3,405.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $153.55 / $258.52 / $378.25	Facility		$153.55	$258.52	$378.25
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $340.01 / $387.80 / $617.32	Facility	50	$340.01	$387.80	$617.32
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $384.08 / $3,187.85	Facility		$55.00	$384.08	$3,187.85