Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.05 / $5,831.75 / $7,993.00	Facility		$517.05	$5,831.75	$7,993.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,993.00 / $7,993.00 / $9,485.34	Facility	50	$7,993.00	$7,993.00	$9,485.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $320.14 / $438.51 / $816.52	Facility		$320.14	$438.51	$816.52
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $595.50 / $657.77 / $1,224.78	Facility	50	$595.50	$657.77	$1,224.78
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 $1,219.76 / $9,388.90 / $26,542.00	Facility		$1,219.76	$9,388.90	$26,542.00