Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.62 / $1,269.95 / $5,177.00	Facility		$314.62	$1,269.95	$5,177.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,591.48 / $1,591.48 / $8,296.41	Facility	50	$1,591.48	$1,591.48	$8,296.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $185.01 / $909.52 / $1,546.18	Facility		$185.01	$909.52	$1,546.18
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $568.65 / $1,806.06 / $3,259.50	Facility	50	$568.65	$1,806.06	$3,259.50
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,596.09 / $1,596.09	Facility		$55.00	$1,596.09	$1,596.09