Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,637.69 / $7,439.00	Facility		$1,615.00	$2,637.69	$7,439.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $349.80 / $527.54 / $569.89	Facility	53	$349.80	$527.54	$569.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,651.21 / $2,569.52 / $3,655.45	Facility		$1,651.21	$2,569.52	$3,655.45
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $513.90 / $513.90 / $822.81	Facility	80	$513.90	$513.90	$822.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $26,186.24 / $31,665.76	Facility		$55.00	$26,186.24	$31,665.76
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $786.30 / $865.80 / $1,678.03	Facility	53	$786.30	$865.80	$1,678.03
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $2,457.17 / $2,705.63 / $5,243.85	Facility	62	$2,457.17	$2,705.63	$5,243.85