Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,211.92 / $7,439.00	Facility		$1,615.00	$2,211.92	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,063.33 / $2,888.00 / $5,083.18	Facility		$2,063.33	$2,888.00	$5,083.18
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $569.46 / $577.60 / $1,016.64	Facility	80	$569.46	$577.60	$1,016.64
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $332.21 / $404.32 / $711.65	Facility	AS	$332.21	$404.32	$711.65
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 / $36,875.58 / $44,480.52	Facility		$55.00	$36,875.58	$44,480.52
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $465.13 / $510.49 / $990.10	Facility	AS	$465.13	$510.49	$990.10