Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.12 / $629.73 / $7,439.00	Facility		$399.12	$629.73	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $392.24 / $547.29 / $984.50	Facility		$392.24	$547.29	$984.50
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $75.51 / $109.46 / $206.60	Facility	80	$75.51	$109.46	$206.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $64.18 / $76.62 / $144.62	Facility	AS	$64.18	$76.62	$144.62
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 / $903.41 / $2,082.75	Facility		$55.00	$903.41	$2,082.75
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $90.34 / $97.54 / $188.01	Facility	AS	$90.34	$97.54	$188.01