Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.82 / $1,469.30 / $7,439.00	Facility		$921.82	$1,469.30	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $921.82 / $1,486.66 / $2,260.56	Facility		$921.82	$1,486.66	$2,260.56
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $224.40 / $297.39 / $432.00	Facility	80	$224.40	$297.39	$432.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $147.76 / $208.18 / $302.39	Facility	AS	$147.76	$208.18	$302.39
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 / $6,047.86 / $13,856.55	Facility		$55.00	$6,047.86	$13,856.55
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $207.63 / $225.23 / $1,314.53	Facility	AS	$207.63	$225.23	$1,314.53