Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $821.19 / $1,285.09 / $7,439.00	Facility		$821.19	$1,285.09	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $821.19 / $1,257.34 / $1,955.02	Facility		$821.19	$1,257.34	$1,955.02
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $223.16 / $269.02 / $407.72	Facility	80	$223.16	$269.02	$407.72
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $132.69 / $188.31 / $285.39	Facility	AS	$132.69	$188.31	$285.39
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 / $1,893.46 / $4,036.46	Facility		$55.00	$1,893.46	$4,036.46
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $184.70 / $206.63 / $403.65	Facility	AS	$184.70	$206.63	$403.65