Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $1,919.60 / $7,439.00	Facility		$1,615.00	$1,919.60	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,788.49 / $2,741.82 / $3,682.78	Facility		$1,788.49	$2,741.82	$3,682.78
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $489.15 / $572.42 / $844.69	Facility	80	$489.15	$572.42	$844.69
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $288.41 / $400.70 / $591.28	Facility	AS	$288.41	$400.70	$591.28
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 / $26,954.24 / $32,520.64	Facility		$55.00	$26,954.24	$32,520.64
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $403.10 / $443.31 / $860.69	Facility	AS	$403.10	$443.31	$860.69