Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,544.30 / $7,439.00	Facility		$1,615.00	$2,544.30	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,887.77 / $3,161.00 / $4,663.42	Facility		$1,887.77	$3,161.00	$4,663.42
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $632.20 / $632.20 / $925.83	Facility	80	$632.20	$632.20	$925.83
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $303.33 / $442.54 / $648.08	Facility	AS	$303.33	$442.54	$648.08
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 / $28,232.96 / $33,948.48	Facility		$55.00	$28,232.96	$33,948.48
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $426.91 / $461.03 / $969.89	Facility	AS	$426.91	$461.03	$969.89