Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,180.24 / $1,648.05 / $7,439.00	Facility		$1,180.24	$1,648.05	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,180.24 / $1,613.47 / $2,794.31	Facility		$1,180.24	$1,613.47	$2,794.31
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $190.51 / $225.89 / $408.90	Facility	AS	$190.51	$225.89	$408.90
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 / $14,502.15 / $17,502.93	Facility		$55.00	$14,502.15	$17,502.93
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $265.33 / $572.38 / $572.38	Facility	AS	$265.33	$572.38	$572.38