Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.43 / $1,385.29 / $7,439.00	Facility		$905.43	$1,385.29	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $905.43 / $1,250.42 / $2,151.04	Facility		$905.43	$1,250.42	$2,151.04
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $146.36 / $175.06 / $314.19	Facility	AS	$146.36	$175.06	$314.19
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 / $13,723.52 / $16,596.80	Facility		$55.00	$13,723.52	$16,596.80
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $203.44 / $443.03 / $443.03	Facility	AS	$203.44	$443.03	$443.03