Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.34 / $1,338.00 / $8,413.00	Facility		$580.34	$1,338.00	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $580.34 / $819.71 / $1,477.50	Facility		$580.34	$819.71	$1,477.50
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $93.27 / $114.76 / $196.24	Facility	AS	$93.27	$114.76	$196.24
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $15,545.00 / $22,780.00	Facility		$6,688.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,809.82 / $13,856.55	Facility		$2,000.00	$3,809.82	$13,856.55
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $130.37 / $142.41 / $1,314.53	Facility	AS	$130.37	$142.41	$1,314.53