Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $4,791.38 / $7,668.61	Facility		$1,615.00	$4,791.38	$7,668.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,196.00 / $5,917.88 / $9,544.84	Facility		$3,196.00	$5,917.88	$9,544.84
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $639.20 / $1,018.60 / $2,222.56	Facility	80	$639.20	$1,018.60	$2,222.56
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $447.44 / $760.53 / $1,555.79	Facility	AS	$447.44	$760.53	$1,555.79
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 / $93,120.30 / $112,206.36	Facility		$55.00	$93,120.30	$112,206.36
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $6,656.07 / $7,273.03 / $14,083.43	Facility	62	$6,656.07	$7,273.03	$14,083.43
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $1,064.97 / $1,163.68 / $2,253.35	Facility	AS	$1,064.97	$1,163.68	$2,253.35