Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.19 / $1,350.00 / $7,362.00	Facility		$313.19	$1,350.00	$7,362.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $295.37 / $438.00 / $654.57	Facility		$295.37	$438.00	$654.57
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $87.60 / $87.60 / $145.94	Facility	80	$87.60	$87.60	$145.94
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $50.21 / $61.32 / $102.17	Facility	AS	$50.21	$61.32	$102.17
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 / $709.72 / $1,451.84	Facility		$55.00	$709.72	$1,451.84
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $443.58 / $473.13 / $907.40	Facility	62	$443.58	$473.13	$907.40
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $70.97 / $75.70 / $145.18	Facility	AS	$70.97	$75.70	$145.18