Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.42 / $652.14 / $7,439.00	Facility		$351.42	$652.14	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $331.56 / $579.15 / $819.59	Facility		$331.56	$579.15	$819.59
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $56.37 / $81.08 / $114.97	Facility	AS	$56.37	$81.08	$114.97
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 / $3,595.13 / $4,338.95	Facility		$55.00	$3,595.13	$4,338.95
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $79.01 / $86.10 / $166.11	Facility	AS	$79.01	$86.10	$166.11