Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.82 / $3,271.05 / $10,431.67	Facility		$402.82	$3,271.05	$10,431.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $246.29 / $1,131.68 / $1,939.95	Facility		$246.29	$1,131.68	$1,939.95
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $755.97 / $2,283.56 / $4,062.64	Facility	50	$755.97	$2,283.56	$4,062.64
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 / $1,990.10 / $1,990.10	Facility		$55.00	$1,990.10	$1,990.10