Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,368.50 / $7,439.00	Facility		$1,615.00	$2,368.50	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,240.38 / $3,393.91 / $4,950.17	Facility		$2,240.38	$3,393.91	$4,950.17
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $678.78 / $678.78 / $1,113.74	Facility	80	$678.78	$678.78	$1,113.74
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $380.86 / $475.15 / $779.62	Facility	AS	$380.86	$475.15	$779.62
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 / $46,657.80 / $56,214.90	Facility		$55.00	$46,657.80	$56,214.90
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $534.17 / $582.94 / $1,128.02	Facility	AS	$534.17	$582.94	$1,128.02