Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.89 / $1,590.44 / $6,953.60	Facility		$274.89	$1,590.44	$6,953.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $274.89 / $405.00 / $701.42	Facility		$274.89	$405.00	$701.42
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $396.75 / $607.50 / $1,044.40	Facility	50	$396.75	$607.50	$1,044.40
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 $1,033.11 / $9,388.90 / $26,542.00	Facility		$1,033.11	$9,388.90	$26,542.00