Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,358.91 / $2,201.28 / $26,129.38	Facility		$1,358.91	$2,201.28	$26,129.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,358.91 / $1,830.35 / $3,380.70	Facility		$1,358.91	$1,830.35	$3,380.70
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $286.00 / $366.07 / $720.77	Facility	80	$286.00	$366.07	$720.77
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $200.20 / $256.25 / $504.50	Facility	AS	$200.20	$256.25	$504.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,064.00 / $3,906.00 / $6,388.00	Facility		$1,064.00	$3,906.00	$6,388.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,517.43 / $24,748.16	Facility		$55.00	$20,517.43	$24,748.16
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $1,909.80 / $4,101.85 / $4,101.85	Facility	62	$1,909.80	$4,101.85	$4,101.85
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $305.57 / $656.30 / $656.30	Facility	AS	$305.57	$656.30	$656.30