Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $758.58 / $8,709.64	Facility		$208.93	$758.58	$8,709.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $251.19 / $389.05	Facility		$208.93	$251.19	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,890.45 / $6,918.31	Facility		$1,174.90	$3,890.45	$6,918.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,288.25 / $1,288.25	Facility		$56.23	$1,288.25	$1,288.25
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility	52	$1,047.13	$1,047.13	$1,047.13
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $812.83 / $812.83 / $812.83	Facility	62	$812.83	$812.83	$812.83
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	AS	$128.82	$128.82	$128.82