Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,756.40 / $7,439.00	Facility		$1,615.00	$2,756.40	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,225.00 / $3,602.08 / $6,131.30	Facility		$2,225.00	$3,602.08	$6,131.30
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $311.50 / $507.22 / $881.89	Facility	AS	$311.50	$507.22	$881.89
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 / $52,730.58 / $63,595.77	Facility		$55.00	$52,730.58	$63,595.77
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $603.87 / $660.31 / $1,277.88	Facility	AS	$603.87	$660.31	$1,277.88