Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.89 / $1,615.00 / $9,392.00	Facility		$501.89	$1,615.00	$9,392.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $100.38 / $109.16 / $163.00	Facility	53	$100.38	$109.16	$163.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $501.89 / $697.65 / $1,169.56	Facility		$501.89	$697.65	$1,169.56
United Facility/Professional Facility Modifier Low / Median / High Price $12,077.00 / $26,483.00 / $45,112.00	Facility		$12,077.00	$26,483.00	$45,112.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,324.00 / $16,026.00 / $43,315.00	Facility		$2,324.00	$16,026.00	$43,315.00
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $223.16 / $246.60 / $8,211.29	Facility	53	$223.16	$246.60	$8,211.29