Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.55 / $1,228.93 / $10,561.00	Facility		$741.55	$1,228.93	$10,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $741.55 / $1,052.40 / $1,622.25	Facility		$741.55	$1,052.40	$1,622.25
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $129.96 / $153.30 / $234.63	Facility	AS	$129.96	$153.30	$234.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,267.68 / $19,913.50 / $26,542.00	Facility		$4,267.68	$19,913.50	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $172.71 / $1,134.79 / $1,955.22	Facility	AS	$172.71	$1,134.79	$1,955.22