Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,491.09 / $1,621.58 / $7,439.00	Facility		$1,491.09	$1,621.58	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,491.09 / $2,444.34 / $3,353.18	Facility		$1,491.09	$2,444.34	$3,353.18
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $422.04 / $522.04 / $697.05	Facility	80	$422.04	$522.04	$697.05
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $239.23 / $365.44 / $487.94	Facility	AS	$239.23	$365.44	$487.94
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 / $15,316.07 / $18,402.66	Facility		$55.00	$15,316.07	$18,402.66
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $2,103.12 / $2,269.73 / $4,374.39	Facility	62	$2,103.12	$2,269.73	$4,374.39
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $336.50 / $363.16 / $699.90	Facility	AS	$336.50	$363.16	$699.90