Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.25 / $1,406.95 / $7,439.00	Facility		$900.25	$1,406.95	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $900.25 / $1,196.60 / $2,229.10	Facility		$900.25	$1,196.60	$2,229.10
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $145.08 / $167.53 / $312.07	Facility	AS	$145.08	$167.53	$312.07
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 / $13,627.52 / $16,502.08	Facility		$55.00	$13,627.52	$16,502.08
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $201.94 / $441.43 / $441.43	Facility	AS	$201.94	$441.43	$441.43