Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.19 / $1,453.02 / $7,439.00	Facility		$895.19	$1,453.02	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $845.65 / $1,422.54 / $1,981.40	Facility		$845.65	$1,422.54	$1,981.40
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $284.51 / $284.51 / $418.82	Facility	80	$284.51	$284.51	$418.82
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $143.76 / $199.16 / $293.17	Facility	AS	$143.76	$199.16	$293.17
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,746.14 / $26,135.20	Facility		$55.00	$21,746.14	$26,135.20
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $202.16 / $218.27 / $420.67	Facility	AS	$202.16	$218.27	$420.67