Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,303.82 / $1,840.08 / $7,439.00	Facility		$1,303.82	$1,840.08	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,303.82 / $1,801.48 / $3,084.18	Facility		$1,303.82	$1,801.48	$3,084.18
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $349.22 / $360.30 / $644.44	Facility	80	$349.22	$360.30	$644.44
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $210.37 / $252.21 / $451.11	Facility	AS	$210.37	$252.21	$451.11
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 / $19,703.68 / $23,770.56	Facility		$55.00	$19,703.68	$23,770.56
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $293.20 / $630.82 / $630.82	Facility	AS	$293.20	$630.82	$630.82