Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $5,248.07 / $30,199.52	Facility		$741.31	$5,248.07	$30,199.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $660.69 / $1,122.02	Facility		$457.09	$660.69	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $26,302.68 / $46,773.51	Facility		$12,022.64	$26,302.68	$46,773.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $54,954.09 / $54,954.09	Facility		$15,848.93	$54,954.09	$54,954.09
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $43,651.58 / $43,651.58 / $43,651.58	Facility	52	$43,651.58	$43,651.58	$43,651.58
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $10,964.78 / $10,964.78 / $10,964.78	Facility	53	$10,964.78	$10,964.78	$10,964.78