Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $781.59 / $1,215.74 / $7,439.00	Facility		$781.59	$1,215.74	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $781.59 / $1,065.97 / $1,953.34	Facility		$781.59	$1,065.97	$1,953.34
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $126.34 / $145.26 / $271.45	Facility	AS	$126.34	$145.26	$271.45
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 / $11,869.60 / $14,364.64	Facility		$55.00	$11,869.60	$14,364.64
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $175.30 / $384.65 / $384.65	Facility	AS	$175.30	$384.65	$384.65