Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,382.90 / $7,439.00	Facility		$1,615.00	$2,382.90	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,205.40 / $3,287.00 / $5,625.00	Facility		$2,205.40	$3,287.00	$5,625.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $610.37 / $657.40 / $1,155.00	Facility	80	$610.37	$657.40	$1,155.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $355.16 / $460.18 / $808.50	Facility	AS	$355.16	$460.18	$808.50
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 / $43,536.99 / $52,504.62	Facility		$55.00	$43,536.99	$52,504.62
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $497.28 / $545.05 / $1,056.54	Facility	AS	$497.28	$545.05	$1,056.54