Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,961.88 / $11,609.00 / $14,528.00	Facility		$4,961.88	$11,609.00	$14,528.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $860.79 / $1,076.52 / $1,714.18	Facility		$860.79	$1,076.52	$1,714.18
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $172.16 / $215.30 / $443.86	Facility	80	$172.16	$215.30	$443.86
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $120.51 / $150.71 / $310.70	Facility	AS	$120.51	$150.71	$310.70
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 $5,091.42 / $15,214.55 / $26,542.00	Facility		$5,091.42	$15,214.55	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $200.69 / $1,442.13 / $1,442.13	Facility	AS	$200.69	$1,442.13	$1,442.13