Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $3,395.58 / $7,439.00	Facility		$1,615.00	$3,395.58	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,700.00 / $4,288.70 / $7,476.35	Facility		$2,700.00	$4,288.70	$7,476.35
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $540.00 / $889.02 / $1,532.53	Facility	80	$540.00	$889.02	$1,532.53
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $378.00 / $598.22 / $1,072.77	Facility	AS	$378.00	$598.22	$1,072.77
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 / $64,192.38 / $77,352.66	Facility		$55.00	$64,192.38	$77,352.66
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $735.03 / $802.30 / $1,552.41	Facility	AS	$735.03	$802.30	$1,552.41