Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $1,972.62 / $7,439.00	Facility		$1,615.00	$1,972.62	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,818.48 / $3,083.78 / $4,860.02	Facility		$1,818.48	$3,083.78	$4,860.02
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $503.22 / $738.40 / $955.00	Facility	80	$503.22	$738.40	$955.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $292.99 / $516.88 / $668.50	Facility	AS	$292.99	$516.88	$668.50
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 / $32,522.68 / $39,231.96	Facility		$55.00	$32,522.68	$39,231.96
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $409.89 / $450.27 / $873.75	Facility	AS	$409.89	$450.27	$873.75