Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.63 / $885.49 / $7,439.00	Facility		$564.63	$885.49	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $537.74 / $824.87 / $1,155.40	Facility		$537.74	$824.87	$1,155.40
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $153.59 / $182.47 / $269.22	Facility	80	$153.59	$182.47	$269.22
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $91.41 / $127.73 / $188.46	Facility	AS	$91.41	$127.73	$188.46
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 / $1,279.72 / $2,783.31	Facility		$55.00	$1,279.72	$2,783.31
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $126.97 / $142.30 / $278.33	Facility	AS	$126.97	$142.30	$278.33