Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.90 / $804.36 / $7,439.00	Facility		$509.90	$804.36	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $665.22 / $1,179.45	Facility		$494.00	$665.22	$1,179.45
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $98.80 / $139.57 / $249.55	Facility	80	$98.80	$139.57	$249.55
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $69.16 / $81.89 / $174.68	Facility	AS	$69.16	$81.89	$174.68
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 / $9,997.46 / $12,022.71	Facility		$55.00	$9,997.46	$12,022.71
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $115.22 / $124.41 / $239.62	Facility	AS	$115.22	$124.41	$239.62