Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.13 / $903.00 / $5,449.00	Facility		$147.13	$903.00	$5,449.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $155.30 / $593.86 / $1,467.36	Facility		$155.30	$593.86	$1,467.36
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $372.00 / $588.60 / $2,378.10	Facility	50	$372.00	$588.60	$2,378.10
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,378.34 / $1,378.34	Facility		$55.00	$1,378.34	$1,378.34