Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.39 / $3,069.14 / $14,641.46	Facility		$514.39	$3,069.14	$14,641.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $331.97 / $1,341.97 / $2,368.46	Facility		$331.97	$1,341.97	$2,368.46
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,011.29 / $2,855.96 / $4,817.59	Facility	50	$1,011.29	$2,855.96	$4,817.59
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 / $2,667.84 / $2,667.84	Facility		$55.00	$2,667.84	$2,667.84