Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,208.13 / $8,964.95 / $8,964.95	Facility		$2,208.13	$8,964.95	$8,964.95
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.57 / $0.57 / $0.57	Facility	50	$0.57	$0.57	$0.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,208.13 / $2,992.77 / $4,374.92	Facility		$2,208.13	$2,992.77	$4,374.92
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $3,174.32 / $5,257.04 / $8,759.03	Facility	50	$3,174.32	$5,257.04	$8,759.03
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $549.75 / $700.94 / $1,172.40	Facility	80	$549.75	$700.94	$1,172.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $359.76 / $490.66 / $817.47	Facility	AS	$359.76	$490.66	$817.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $26,029.44 / $30,760.68	Facility		$55.00	$26,029.44	$30,760.68
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $483.84 / $1,095.82 / $1,095.82	Facility	AS	$483.84	$1,095.82	$1,095.82