Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,065.72 / $1,615.00 / $7,439.00	Facility		$1,065.72	$1,615.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,065.72 / $1,509.23 / $2,601.11	Facility		$1,065.72	$1,509.23	$2,601.11
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $281.20 / $301.85 / $515.60	Facility	80	$281.20	$301.85	$515.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $170.46 / $211.29 / $360.92	Facility	AS	$170.46	$211.29	$360.92
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 / $8,942.58 / $10,734.84	Facility		$55.00	$8,942.58	$10,734.84
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $239.39 / $258.60 / $499.23	Facility	AS	$239.39	$258.60	$499.23