Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.88 / $999.08 / $7,439.00	Facility		$633.88	$999.08	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $598.12 / $979.15 / $1,561.28	Facility		$598.12	$979.15	$1,561.28
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $174.83 / $205.00 / $331.00	Facility	80	$174.83	$205.00	$331.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $101.68 / $143.50 / $231.70	Facility	AS	$101.68	$143.50	$231.70
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 / $1,436.42 / $2,978.39	Facility		$55.00	$1,436.42	$2,978.39
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $143.21 / $154.60 / $297.83	Facility	AS	$143.21	$154.60	$297.83