Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $885.00 / $6,953.60 / $10,034.00	Facility		$885.00	$6,953.60	$10,034.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $909.59 / $12,003.00 / $12,003.00	Facility	50	$909.59	$12,003.00	$12,003.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $638.79 / $792.11 / $1,200.00	Facility		$638.79	$792.11	$1,200.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $929.21 / $1,281.96 / $1,913.14	Facility	50	$929.21	$1,281.96	$1,913.14
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 $3,611.28 / $9,001.70 / $26,542.00	Facility		$3,611.28	$9,001.70	$26,542.00