Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.98 / $1,221.79 / $7,439.00	Facility		$778.98	$1,221.79	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $778.98 / $1,083.45 / $1,855.85	Facility		$778.98	$1,083.45	$1,855.85
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $125.91 / $151.68 / $270.45	Facility	AS	$125.91	$151.68	$270.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,842.08 / $14,314.56	Facility		$55.00	$11,842.08	$14,314.56
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $175.80 / $381.52 / $381.52	Facility	AS	$175.80	$381.52	$381.52