Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $6,918.31 / $58,884.37	Facility		$1,000.00	$6,918.31	$58,884.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $870.96 / $1,584.89	Facility		$645.65	$870.96	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $10,000.00 / $19,054.61	Facility		$2,041.74	$10,000.00	$19,054.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $9,332.54 / $9,332.54	Facility		$56.23	$9,332.54	$9,332.54
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Facility	52	$7,585.78	$7,585.78	$7,585.78
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility	53	$1,862.09	$1,862.09	$1,862.09
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Facility	62	$5,888.44	$5,888.44	$5,888.44