Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,437.02 / $1,615.00 / $7,439.00	Facility		$1,437.02	$1,615.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,437.02 / $1,893.84 / $3,442.50	Facility		$1,437.02	$1,893.84	$3,442.50
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $339.00 / $378.77 / $674.37	Facility	80	$339.00	$378.77	$674.37
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $231.32 / $265.14 / $472.06	Facility	AS	$231.32	$265.14	$472.06
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 / $21,543.36 / $25,959.20	Facility		$55.00	$21,543.36	$25,959.20
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $2,013.19 / $2,208.19 / $4,286.25	Facility	62	$2,013.19	$2,208.19	$4,286.25
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $322.11 / $353.31 / $685.80	Facility	AS	$322.11	$353.31	$685.80