Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.64 / $4,148.00 / $6,915.00	Facility		$664.64	$4,148.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $45.89 / $2,328.29 / $6,261.47	Facility	50	$45.89	$2,328.29	$6,261.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $437.75 / $600.32 / $914.90	Facility		$437.75	$600.32	$914.90
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $900.48 / $900.48 / $1,647.73	Facility	50	$900.48	$900.48	$1,647.73
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $71.28 / $84.04 / $153.79	Facility	AS	$71.28	$84.04	$153.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,094.80 / $8,723.79	Facility		$55.00	$2,094.80	$8,723.79
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $99.81 / $826.90 / $826.90	Facility	AS	$99.81	$826.90	$826.90