Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $8,709.64	Facility		$1,202.26	$1,995.26	$8,709.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,862.09 / $3,162.28	Facility		$1,202.26	$1,862.09	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,890.45 / $6,918.31	Facility		$1,174.90	$3,890.45	$6,918.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $12,302.69 / $12,302.69	Facility		$56.23	$12,302.69	$12,302.69
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility	AS	$1,230.27	$1,230.27	$1,230.27