Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.37 / $1,338.00 / $8,413.00	Facility		$367.37	$1,338.00	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $367.37 / $510.13 / $868.79	Facility		$367.37	$510.13	$868.79
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $59.22 / $71.42 / $126.89	Facility	AS	$59.22	$71.42	$126.89
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 / $4,165.20 / $13,486.75	Facility		$55.00	$4,165.20	$13,486.75
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $82.95 / $1,279.44 / $1,279.44	Facility	AS	$82.95	$1,279.44	$1,279.44