Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.27 / $921.59 / $7,439.00	Facility		$583.27	$921.59	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $583.27 / $819.87 / $1,562.57	Facility		$583.27	$819.87	$1,562.57
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $93.61 / $114.78 / $198.88	Facility	AS	$93.61	$114.78	$198.88
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 $55.00 / $3,801.35 / $13,856.55	Facility		$55.00	$3,801.35	$13,856.55
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $130.12 / $142.07 / $1,314.53	Facility	AS	$130.12	$142.07	$1,314.53