Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.17 / $519.71 / $7,439.00	Facility		$200.17	$519.71	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $200.17 / $496.82 / $865.00	Facility		$200.17	$496.82	$865.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $584.22 / $815.93 / $913.25	Facility	50	$584.22	$815.93	$913.25
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $77.90 / $108.79 / $121.77	Facility	80	$77.90	$108.79	$121.77
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $32.03 / $74.37 / $85.24	Facility	AS	$32.03	$74.37	$85.24
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 / $482.59 / $1,401.63	Facility		$55.00	$482.59	$1,401.63
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $282.80 / $301.62 / $876.02	Facility	62	$282.80	$301.62	$876.02
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $45.25 / $48.26 / $140.16	Facility	AS	$45.25	$48.26	$140.16