Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $3,296.84 / $7,621.28	Facility		$1,615.00	$3,296.84	$7,621.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,119.31 / $4,727.93 / $6,890.40	Facility		$3,119.31	$4,727.93	$6,890.40
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $945.59 / $945.59 / $1,548.87	Facility	80	$945.59	$945.59	$1,548.87
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $530.28 / $661.91 / $1,084.21	Facility	AS	$530.28	$661.91	$1,084.21
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 / $64,910.37 / $78,154.02	Facility		$55.00	$64,910.37	$78,154.02
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $743.89 / $809.82 / $1,565.76	Facility	AS	$743.89	$809.82	$1,565.76