Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.11 / $1,109.92 / $7,439.00	Facility		$711.11	$1,109.92	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $711.11 / $973.17 / $1,787.98	Facility		$711.11	$973.17	$1,787.98
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $115.36 / $133.51 / $248.48	Facility	AS	$115.36	$133.51	$248.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,843.20 / $13,130.24	Facility		$55.00	$10,843.20	$13,130.24
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $159.94 / $352.23 / $352.23	Facility	AS	$159.94	$352.23	$352.23