Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $24.72 / $7,439.00	Facility		$15.89	$24.72	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $24.75 / $36.57	Facility		$15.89	$24.75	$36.57
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $4.30 / $5.40 / $7.67	Facility	80	$4.30	$5.40	$7.67
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $2.50 / $3.78 / $5.37	Facility	AS	$2.50	$3.78	$5.37
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $35.35 / $55.00 / $1,300.00	Facility		$35.35	$55.00	$1,300.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $3.54 / $3.82 / $7.36	Facility	AS	$3.54	$3.82	$7.36