Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.40 / $182.18 / $7,439.00	Facility		$127.40	$182.18	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.22 / $165.00 / $248.53	Facility		$120.22	$165.00	$248.53
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $33.00 / $33.00 / $59.13	Facility	80	$33.00	$33.00	$59.13
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $20.44 / $23.10 / $34.79	Facility	AS	$20.44	$23.10	$34.79
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 / $285.29 / $594.13	Facility		$55.00	$285.29	$594.13
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $28.53 / $30.81 / $59.41	Facility	AS	$28.53	$30.81	$59.41