Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,718.56 / $7,439.00	Facility		$1,615.00	$2,718.56	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,971.00 / $3,534.97 / $5,754.92	Facility		$1,971.00	$3,534.97	$5,754.92
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $275.94 / $500.82 / $873.24	Facility	AS	$275.94	$500.82	$873.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,064.00 / $3,906.00 / $6,388.00	Facility		$1,064.00	$3,906.00	$6,388.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $52,249.26 / $62,988.66	Facility		$55.00	$52,249.26	$62,988.66
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $597.35 / $653.63 / $1,266.13	Facility	AS	$597.35	$653.63	$1,266.13