Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.87 / $3,044.39 / $6,384.00	Facility		$482.87	$3,044.39	$6,384.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $358.31 / $610.32 / $911.86	Facility		$358.31	$610.32	$911.86
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $778.50 / $921.00 / $1,357.74	Facility	50	$778.50	$921.00	$1,357.74
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 $1,343.88 / $9,388.90 / $26,542.00	Facility		$1,343.88	$9,388.90	$26,542.00