Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,220.60 / $6,953.60 / $15,908.00	Facility		$1,220.60	$6,953.60	$15,908.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $382.76 / $563.79 / $630.80	Facility	52	$382.76	$563.79	$630.80
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $153.10 / $225.51 / $252.32	Facility	53	$153.10	$225.51	$252.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $721.66 / $1,103.91 / $1,520.12	Facility		$721.66	$1,103.91	$1,520.12
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $220.78 / $220.78 / $355.70	Facility	80	$220.78	$220.78	$355.70
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,777.88 / $9,409.18	Facility		$55.00	$7,777.88	$9,409.18
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $1,360.78 / $1,497.65 / $2,900.39	Facility	52	$1,360.78	$1,497.65	$2,900.39
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $340.19 / $374.41 / $725.10	Facility	53	$340.19	$374.41	$725.10
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $1,063.10 / $1,170.04 / $2,265.92	Facility	62	$1,063.10	$1,170.04	$2,265.92