Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,368.98 / $7,439.00 / $9,302.79	Facility		$2,368.98	$7,439.00	$9,302.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,368.98 / $3,669.00 / $5,741.36	Facility		$2,368.98	$3,669.00	$5,741.36
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $655.57 / $733.80 / $1,117.22	Facility	80	$655.57	$733.80	$1,117.22
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $381.43 / $513.66 / $782.05	Facility	AS	$381.43	$513.66	$782.05
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 / $46,713.66 / $56,395.50	Facility		$55.00	$46,713.66	$56,395.50
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $3,346.53 / $3,664.22 / $7,089.44	Facility	62	$3,346.53	$3,664.22	$7,089.44
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $535.45 / $586.28 / $1,134.31	Facility	AS	$535.45	$586.28	$1,134.31