Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,026.08 / $7,439.00	Facility		$1,615.00	$2,026.08	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,780.38 / $2,598.62 / $4,654.00	Facility		$1,780.38	$2,598.62	$4,654.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $356.08 / $455.00 / $930.80	Facility	80	$356.08	$455.00	$930.80
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $302.66 / $318.50 / $651.55	Facility	AS	$302.66	$318.50	$651.55
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 / $33,569.01 / $40,497.74	Facility		$55.00	$33,569.01	$40,497.74
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $423.45 / $464.86 / $901.60	Facility	AS	$423.45	$464.86	$901.60