Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $981.39 / $1,547.83 / $7,439.00	Facility		$981.39	$1,547.83	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $981.39 / $1,349.26 / $2,557.50	Facility		$981.39	$1,349.26	$2,557.50
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $157.66 / $188.90 / $326.48	Facility	AS	$157.66	$188.90	$326.48
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 / $10,106.46 / $13,856.55	Facility		$55.00	$10,106.46	$13,856.55
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $220.12 / $239.97 / $1,314.53	Facility	AS	$220.12	$239.97	$1,314.53