Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $970.53 / $1,508.19 / $7,439.00	Facility		$970.53	$1,508.19	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $970.53 / $1,288.03 / $2,400.16	Facility		$970.53	$1,288.03	$2,400.16
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $156.74 / $180.32 / $336.02	Facility	AS	$156.74	$180.32	$336.02
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 / $14,675.68 / $17,754.88	Facility		$55.00	$14,675.68	$17,754.88
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $217.45 / $474.32 / $474.32	Facility	AS	$217.45	$474.32	$474.32