Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,659.59 / $8,709.64	Facility		$891.25	$1,659.59	$8,709.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,995.26	Facility		$891.25	$1,258.93	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,890.45 / $6,918.31	Facility		$1,174.90	$3,890.45	$6,918.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $16,595.87 / $16,595.87	Facility		$56.23	$16,595.87	$16,595.87
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility	AS	$1,659.59	$1,659.59	$1,659.59