Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.75 / $1,637.91 / $7,439.00	Facility		$1,614.75	$1,637.91	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,418.00 / $2,139.90 / $3,993.19	Facility		$1,418.00	$2,139.90	$3,993.19
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $283.60 / $427.98 / $798.64	Facility	80	$283.60	$427.98	$798.64
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $198.52 / $299.58 / $559.04	Facility	AS	$198.52	$299.58	$559.04
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 / $24,402.56 / $29,453.76	Facility		$55.00	$24,402.56	$29,453.76
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $363.35 / $781.96 / $781.96	Facility	AS	$363.35	$781.96	$781.96