Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,850.33 / $7,439.00	Facility		$1,615.00	$2,850.33	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,721.21 / $3,712.76 / $6,703.14	Facility		$2,721.21	$3,712.76	$6,703.14
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $628.60 / $742.55 / $1,340.63	Facility	80	$628.60	$742.55	$1,340.63
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $438.20 / $519.79 / $938.44	Facility	AS	$438.20	$519.79	$938.44
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 / $53,726.40 / $64,800.54	Facility		$55.00	$53,726.40	$64,800.54
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $613.62 / $672.80 / $1,304.25	Facility	AS	$613.62	$672.80	$1,304.25