Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.51 / $1,338.00 / $8,413.00	Facility		$298.51	$1,338.00	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $298.51 / $415.35 / $707.47	Facility		$298.51	$415.35	$707.47
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $48.22 / $58.15 / $103.31	Facility	AS	$48.22	$58.15	$103.31
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,386.28 / $13,486.75	Facility		$55.00	$3,386.28	$13,486.75
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $67.45 / $1,279.44 / $1,279.44	Facility	AS	$67.45	$1,279.44	$1,279.44