Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.81 / $144.16 / $5,449.00	Facility		$88.81	$144.16	$5,449.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $88.81 / $122.32 / $175.51	Facility		$88.81	$122.32	$175.51
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $21.76 / $29.46 / $43.53	Facility	80	$21.76	$29.46	$43.53
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $15.23 / $18.50 / $29.23	Facility	AS	$15.23	$18.50	$29.23
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 $427.98 / $427.98 / $12,000.00	Facility		$427.98	$427.98	$12,000.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $42.80 / $42.80 / $42.80	Facility	AS	$42.80	$42.80	$42.80