Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.38 / $286.77 / $7,439.00	Facility		$182.38	$286.77	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $182.38 / $250.39 / $446.06	Facility		$182.38	$250.39	$446.06
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $43.40 / $50.08 / $89.21	Facility	80	$43.40	$50.08	$89.21
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $29.14 / $35.04 / $62.45	Facility	AS	$29.14	$35.04	$62.45
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 / $411.05 / $1,300.00	Facility		$55.00	$411.05	$1,300.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $41.11 / $44.40 / $85.52	Facility	AS	$41.11	$44.40	$85.52