Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.29 / $4,940.72 / $10,212.31	Facility		$404.29	$4,940.72	$10,212.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $14,188.50 / $14,188.50 / $14,188.50	Facility	50	$14,188.50	$14,188.50	$14,188.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $404.29 / $585.00 / $1,021.04	Facility		$404.29	$585.00	$1,021.04
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $712.50 / $877.50 / $1,531.56	Facility	50	$712.50	$877.50	$1,531.56
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 $2,277.71 / $14,302.50 / $26,542.00	Facility		$2,277.71	$14,302.50	$26,542.00