Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,462.65 / $7,439.00	Facility		$1,615.00	$2,462.65	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,312.75 / $3,176.75 / $5,701.98	Facility		$2,312.75	$3,176.75	$5,701.98
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $587.60 / $635.35 / $1,140.40	Facility	80	$587.60	$635.35	$1,140.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $372.56 / $434.28 / $798.28	Facility	AS	$372.56	$434.28	$798.28
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 / $45,722.46 / $55,133.40	Facility		$55.00	$45,722.46	$55,133.40
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $521.89 / $572.25 / $1,109.65	Facility	AS	$521.89	$572.25	$1,109.65