Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,279.29 / $1,615.00 / $7,439.00	Facility		$1,279.29	$1,615.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,279.29 / $1,778.45 / $3,261.01	Facility		$1,279.29	$1,778.45	$3,261.01
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,430.00 / $2,667.68 / $5,049.00	Facility	50	$2,430.00	$2,667.68	$5,049.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $324.00 / $355.69 / $673.20	Facility	80	$324.00	$355.69	$673.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,644.48 / $11,920.24	Facility		$55.00	$9,644.48	$11,920.24