Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,459.41 / $8,304.45 / $12,803.97	Facility		$3,459.41	$8,304.45	$12,803.97
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,717.16 / $9,137.26 / $15,553.10	Facility	50	$4,717.16	$9,137.26	$15,553.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $643.64 / $990.93 / $1,616.46	Facility		$643.64	$990.93	$1,616.46
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,231.74 / $1,618.50 / $2,424.69	Facility	50	$1,231.74	$1,618.50	$2,424.69
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $164.23 / $215.80 / $323.29	Facility	80	$164.23	$215.80	$323.29
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $105.06 / $151.06 / $226.30	Facility	AS	$105.06	$151.06	$226.30
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $15,545.00 / $22,780.00	Facility		$6,688.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,230.31 / $16,223.75 / $26,542.00	Facility		$4,230.31	$16,223.75	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $146.93 / $1,537.78 / $1,537.78	Facility	AS	$146.93	$1,537.78	$1,537.78