Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.53 / $1,158.56 / $13,382.46	Facility		$166.53	$1,158.56	$13,382.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $174.30 / $642.50 / $1,643.31	Facility		$174.30	$642.50	$1,643.31
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $433.50 / $664.89 / $2,597.37	Facility	50	$433.50	$664.89	$2,597.37
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 / $1,534.64 / $1,534.64	Facility		$55.00	$1,534.64	$1,534.64