Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,551.63 / $1,615.00 / $7,439.00	Facility		$1,551.63	$1,615.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,551.63 / $2,062.40 / $3,854.10	Facility		$1,551.63	$2,062.40	$3,854.10
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $250.98 / $288.74 / $539.57	Facility	AS	$250.98	$288.74	$539.57
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 / $23,554.88 / $28,498.40	Facility		$55.00	$23,554.88	$28,498.40
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $348.51 / $762.02 / $762.02	Facility	AS	$348.51	$762.02	$762.02