Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.67 / $5,615.03 / $28,286.47	Facility		$718.67	$5,615.03	$28,286.47
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $227.99 / $246.31 / $371.41	Facility	52	$227.99	$246.31	$371.41
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $91.20 / $98.52 / $148.56	Facility	53	$91.20	$98.52	$148.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $455.98 / $629.01 / $1,054.06	Facility		$455.98	$629.01	$1,054.06
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 $1,008.44 / $16,026.00 / $54,852.40	Facility		$1,008.44	$16,026.00	$54,852.40
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $806.75 / $886.77 / $41,267.12	Facility	52	$806.75	$886.77	$41,267.12
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $201.69 / $221.69 / $10,316.78	Facility	53	$201.69	$221.69	$10,316.78