Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.20 / $1,144.81 / $7,439.00	Facility		$740.20	$1,144.81	$7,439.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $370.10 / $370.10 / $591.63	Facility	52	$370.10	$370.10	$591.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $740.20 / $940.04 / $1,846.68	Facility		$740.20	$940.04	$1,846.68
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $172.00 / $186.51 / $369.34	Facility	80	$172.00	$186.51	$369.34
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 $5,642.88 / $6,844.48 / $11,500.00	Facility		$5,642.88	$6,844.48	$11,500.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $1,336.74 / $2,944.24 / $2,944.24	Facility	52	$1,336.74	$2,944.24	$2,944.24