Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.43 / $1,615.00 / $7,439.00	Facility		$313.43	$1,615.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $197.06 / $996.07 / $1,756.49	Facility		$197.06	$996.07	$1,756.49
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $603.04 / $2,122.42 / $3,570.41	Facility	50	$603.04	$2,122.42	$3,570.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,742.78 / $1,742.78	Facility		$55.00	$1,742.78	$1,742.78