Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.53 / $1,121.35 / $7,439.00	Facility		$711.53	$1,121.35	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $711.53 / $985.88 / $1,754.44	Facility		$711.53	$985.88	$1,754.44
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $114.22 / $138.02 / $262.50	Facility	AS	$114.22	$138.02	$262.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,064.00 / $3,906.00 / $6,388.00	Facility		$1,064.00	$3,906.00	$6,388.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,736.08 / $3,344.67	Facility		$55.00	$1,736.08	$3,344.67
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $160.82 / $173.61 / $334.47	Facility	AS	$160.82	$173.61	$334.47