Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $701.25 / $1,245.00 / $10,561.00	Facility		$701.25	$1,245.00	$10,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $701.25 / $1,029.00 / $1,591.06	Facility		$701.25	$1,029.00	$1,591.06
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $129.91 / $180.96 / $222.75	Facility	AS	$129.91	$180.96	$222.75
United Facility/Professional Facility Modifier Low / Median / High Price $3,183.00 / $12,216.00 / $19,066.00	Facility		$3,183.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,711.08 / $8,957.00 / $26,542.00	Facility		$2,711.08	$8,957.00	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $165.38 / $510.42 / $849.00	Facility	AS	$165.38	$510.42	$849.00