Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.84 / $1,150.92 / $7,439.00	Facility		$804.84	$1,150.92	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $760.72 / $1,064.66 / $1,572.66	Facility		$760.72	$1,064.66	$1,572.66
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $129.32 / $149.05 / $220.14	Facility	AS	$129.32	$149.05	$220.14
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 / $12,210.72 / $14,753.12	Facility		$55.00	$12,210.72	$14,753.12
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $181.45 / $201.41 / $392.71	Facility	AS	$181.45	$201.41	$392.71