Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.74 / $895.00 / $4,311.00	Facility		$136.74	$895.00	$4,311.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,425.08 / $1,960.42 / $2,252.54	Facility	50	$1,425.08	$1,960.42	$2,252.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.44 / $648.89 / $1,144.56	Facility		$81.44	$648.89	$1,144.56
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $292.02 / $1,437.39 / $1,827.77	Facility	50	$292.02	$1,437.39	$1,827.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $871.33 / $871.33	Facility		$55.00	$871.33	$871.33