Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.35 / $133.97 / $5,449.00	Facility		$44.35	$133.97	$5,449.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.35 / $72.61 / $103.62	Facility		$44.35	$72.61	$103.62
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $12.97 / $17.44 / $23.81	Facility	80	$12.97	$17.44	$23.81
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $9.08 / $11.03 / $15.33	Facility	AS	$9.08	$11.03	$15.33
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $212.14 / $212.14 / $12,000.00	Facility		$212.14	$212.14	$12,000.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $21.21 / $21.21 / $21.21	Facility	AS	$21.21	$21.21	$21.21