Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,338.00 / $3,485.65 / $8,413.00	Facility		$1,338.00	$3,485.65	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,227.78 / $2,844.22 / $3,927.97	Facility		$2,227.78	$2,844.22	$3,927.97
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $487.60 / $585.04 / $787.87	Facility	80	$487.60	$585.04	$787.87
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $341.32 / $409.54 / $536.24	Facility	AS	$341.32	$409.54	$536.24
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 $2,000.00 / $8,352.40 / $11,161.46	Facility		$2,000.00	$8,352.40	$11,161.46
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $3,200.13 / $3,595.36 / $6,975.91	Facility	62	$3,200.13	$3,595.36	$6,975.91
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $512.02 / $575.26 / $1,116.15	Facility	AS	$512.02	$575.26	$1,116.15