Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.75 / $1,587.16 / $7,439.00	Facility		$993.75	$1,587.16	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $746.00 / $1,382.56 / $2,384.98	Facility		$746.00	$1,382.56	$2,384.98
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,119.00 / $2,073.84 / $3,482.80	Facility	50	$1,119.00	$2,073.84	$3,482.80
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $149.19 / $276.51 / $464.37	Facility	80	$149.19	$276.51	$464.37
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $104.44 / $193.56 / $325.06	Facility	AS	$104.44	$193.56	$325.06
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 / $6,500.83 / $13,856.55	Facility		$55.00	$6,500.83	$13,856.55
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $223.68 / $241.85 / $1,314.53	Facility	AS	$223.68	$241.85	$1,314.53