Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.05 / $1,239.83 / $7,439.00	Facility		$787.05	$1,239.83	$7,439.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,212.45 / $1,212.45 / $1,212.45	Facility	50	$1,212.45	$1,212.45	$1,212.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $787.05 / $1,051.32 / $1,995.03	Facility		$787.05	$1,051.32	$1,995.03
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,134.69 / $1,576.98 / $2,992.54	Facility	50	$1,134.69	$1,576.98	$2,992.54
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 / $5,212.27 / $6,424.18	Facility		$55.00	$5,212.27	$6,424.18