Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,559.94 / $1,615.00 / $7,439.00	Facility		$1,559.94	$1,615.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,559.94 / $2,180.00 / $3,866.33	Facility		$1,559.94	$2,180.00	$3,866.33
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $252.26 / $305.20 / $541.29	Facility	AS	$252.26	$305.20	$541.29
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 / $23,618.88 / $28,551.04	Facility		$55.00	$23,618.88	$28,551.04
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $350.25 / $761.47 / $761.47	Facility	AS	$350.25	$761.47	$761.47