Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,439.84 / $1,615.00 / $7,439.00	Facility		$1,439.84	$1,615.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,439.84 / $2,118.00 / $3,662.00	Facility		$1,439.84	$2,118.00	$3,662.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $388.16 / $423.60 / $762.16	Facility	80	$388.16	$423.60	$762.16
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $232.14 / $296.52 / $533.47	Facility	AS	$232.14	$296.52	$533.47
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 / $21,737.28 / $26,242.72	Facility		$55.00	$21,737.28	$26,242.72
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $323.47 / $697.18 / $697.18	Facility	AS	$323.47	$697.18	$697.18