Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $648.92 / $1,009.68 / $7,439.00	Facility		$648.92	$1,009.68	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $648.92 / $1,014.00 / $1,635.00	Facility		$648.92	$1,014.00	$1,635.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $105.06 / $141.96 / $228.90	Facility	AS	$105.06	$141.96	$228.90
United Facility/Professional Facility Modifier Low / Median / High Price $10,829.00 / $22,655.00 / $29,047.00	Facility		$10,829.00	$22,655.00	$29,047.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,017.75 / $9,726.73	Facility		$55.00	$8,017.75	$9,726.73
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $146.16 / $321.66 / $321.66	Facility	AS	$146.16	$321.66	$321.66