Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.96 / $814.30 / $6,953.60	Facility		$432.96	$814.30	$6,953.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $528.69 / $776.00 / $1,293.02	Facility		$528.69	$776.00	$1,293.02
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $145.21 / $155.19 / $258.60	Facility	80	$145.21	$155.19	$258.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $84.82 / $108.64 / $181.02	Facility	AS	$84.82	$108.64	$181.02
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 / $1,193.26 / $2,481.73	Facility		$55.00	$1,193.26	$2,481.73
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $119.33 / $128.84 / $248.17	Facility	AS	$119.33	$128.84	$248.17