Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.49 / $239.72 / $7,439.00	Facility		$152.49	$239.72	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $152.49 / $211.09 / $355.41	Facility		$152.49	$211.09	$355.41
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $40.86 / $42.22 / $74.64	Facility	80	$40.86	$42.22	$74.64
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $24.45 / $29.55 / $52.25	Facility	AS	$24.45	$29.55	$52.25
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 / $370.46 / $714.40	Facility		$55.00	$370.46	$714.40
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $34.29 / $71.44 / $71.44	Facility	AS	$34.29	$71.44	$71.44