Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,201.64 / $1,615.00 / $7,439.00	Facility		$1,201.64	$1,615.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,201.64 / $1,704.15 / $2,956.36	Facility		$1,201.64	$1,704.15	$2,956.36
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $193.06 / $238.58 / $394.03	Facility	AS	$193.06	$238.58	$394.03
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 / $10,134.90 / $12,164.49	Facility		$55.00	$10,134.90	$12,164.49
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $271.30 / $292.98 / $565.58	Facility	AS	$271.30	$292.98	$565.58