Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.84 / $4,872.07 / $6,953.60	Facility		$738.84	$4,872.07	$6,953.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,272.09 / $7,787.47 / $9,184.82	Facility	50	$3,272.09	$7,787.47	$9,184.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $462.08 / $636.00 / $988.00	Facility		$462.08	$636.00	$988.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $667.50 / $963.52 / $1,482.00	Facility	50	$667.50	$963.52	$1,482.00
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 $2,484.78 / $5,819.45 / $26,542.00	Facility		$2,484.78	$5,819.45	$26,542.00