Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,542.50 / $4,389.32 / $10,086.51	Facility		$1,542.50	$4,389.32	$10,086.51
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,609.39 / $4,609.39 / $6,684.32	Facility	50	$4,609.39	$4,609.39	$6,684.32
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $711.53 / $711.53 / $1,144.71	Facility	52	$711.53	$711.53	$1,144.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,423.05 / $1,818.78 / $3,590.79	Facility		$1,423.05	$1,818.78	$3,590.79
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,161.50 / $2,728.17 / $5,386.18	Facility	50	$2,161.50	$2,728.17	$5,386.18
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $288.20 / $363.76 / $718.16	Facility	80	$288.20	$363.76	$718.16
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $201.74 / $254.63 / $502.71	Facility	AS	$201.74	$254.63	$502.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,401.98 / $11,584.72	Facility		$55.00	$9,401.98	$11,584.72
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $2,636.30 / $5,744.80 / $5,744.80	Facility	52	$2,636.30	$5,744.80	$5,744.80
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $2,059.61 / $4,488.13 / $4,488.13	Facility	62	$2,059.61	$4,488.13	$4,488.13
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $329.54 / $718.10 / $718.10	Facility	AS	$329.54	$718.10	$718.10