Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,602.93 / $7,858.49 / $13,770.44	Facility		$1,602.93	$7,858.49	$13,770.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,142.97 / $1,371.56 / $1,796.58	Facility		$1,142.97	$1,371.56	$1,796.58
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $161.79 / $199.65 / $284.25	Facility	AS	$161.79	$199.65	$284.25
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,562.74 / $15,214.55 / $26,542.00	Facility		$6,562.74	$15,214.55	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $265.48 / $298.26 / $1,442.13	Facility	AS	$265.48	$298.26	$1,442.13