Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.41 / $1,323.12 / $7,439.00	Facility		$848.41	$1,323.12	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $848.41 / $1,127.25 / $2,175.00	Facility		$848.41	$1,127.25	$2,175.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $137.19 / $157.82 / $295.17	Facility	AS	$137.19	$157.82	$295.17
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 / $10,498.15 / $12,709.06	Facility		$55.00	$10,498.15	$12,709.06
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $190.81 / $419.07 / $419.07	Facility	AS	$190.81	$419.07	$419.07