Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.71 / $1,245.00 / $10,561.00	Facility		$762.71	$1,245.00	$10,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $762.71 / $1,029.48 / $2,037.69	Facility		$762.71	$1,029.48	$2,037.69
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $101.57 / $144.13 / $257.12	Facility	AS	$101.57	$144.13	$257.12
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,652.25 / $7,984.00	Facility		$55.00	$3,652.25	$7,984.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $174.55 / $193.81 / $757.42	Facility	AS	$174.55	$193.81	$757.42