Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,461.02 / $7,439.00	Facility		$1,615.00	$2,461.02	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,135.00 / $3,167.30 / $5,584.02	Facility		$2,135.00	$3,167.30	$5,584.02
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $427.00 / $644.80 / $1,116.80	Facility	80	$427.00	$644.80	$1,116.80
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $298.89 / $387.10 / $781.76	Facility	AS	$298.89	$387.10	$781.76
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 / $46,688.46 / $56,381.43	Facility		$55.00	$46,688.46	$56,381.43
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $534.94 / $586.33 / $1,134.79	Facility	AS	$534.94	$586.33	$1,134.79