Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $3,338.68 / $7,439.00	Facility		$1,615.00	$3,338.68	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,126.07 / $4,795.55 / $7,335.37	Facility		$3,126.07	$4,795.55	$7,335.37
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $502.10 / $685.79 / $1,026.95	Facility	AS	$502.10	$685.79	$1,026.95
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 / $61,482.96 / $74,025.84	Facility		$55.00	$61,482.96	$74,025.84
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $704.66 / $767.02 / $1,482.95	Facility	AS	$704.66	$767.02	$1,482.95