Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.34 / $1,350.00 / $7,362.00	Facility		$360.34	$1,350.00	$7,362.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $341.19 / $510.27 / $753.11	Facility		$341.19	$510.27	$753.11
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $102.05 / $102.05 / $169.50	Facility	80	$102.05	$102.05	$169.50
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $58.00 / $71.44 / $118.65	Facility	AS	$58.00	$71.44	$118.65
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $818.26 / $1,702.21	Facility		$55.00	$818.26	$1,702.21
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $81.83 / $88.33 / $170.22	Facility	AS	$81.83	$88.33	$170.22