Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.89 / $1,355.01 / $27,301.64	Facility		$867.89	$1,355.01	$27,301.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $867.89 / $1,245.00 / $2,171.25	Facility		$867.89	$1,245.00	$2,171.25
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $140.38 / $174.30 / $301.74	Facility	AS	$140.38	$174.30	$301.74
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 / $13,180.64 / $15,934.72	Facility		$55.00	$13,180.64	$15,934.72
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $194.99 / $425.63 / $425.63	Facility	AS	$194.99	$425.63	$425.63