Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.77 / $239.72 / $7,439.00	Facility		$152.77	$239.72	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $152.77 / $212.20 / $356.18	Facility		$152.77	$212.20	$356.18
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $41.05 / $42.44 / $74.64	Facility	80	$41.05	$42.44	$74.64
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $24.45 / $29.71 / $52.25	Facility	AS	$24.45	$29.71	$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 / $371.34 / $716.25	Facility		$55.00	$371.34	$716.25
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $34.35 / $71.63 / $71.63	Facility	AS	$34.35	$71.63	$71.63