Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.40 / $1,245.00 / $8,413.00	Facility		$690.40	$1,245.00	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $669.73 / $833.00 / $1,243.00	Facility		$669.73	$833.00	$1,243.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,004.58 / $1,249.50 / $1,864.50	Facility	50	$1,004.58	$1,249.50	$1,864.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,353.00 / $6,575.00 / $9,616.00	Facility		$2,353.00	$6,575.00	$9,616.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,906.54 / $5,819.45 / $26,542.00	Facility		$3,906.54	$5,819.45	$26,542.00