Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,995.26 / $10,471.29	Facility		$812.83	$1,995.26	$10,471.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,230.27 / $2,238.72	Facility		$812.83	$1,230.27	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,137.96 / $4,265.80	Facility		$776.25	$2,137.96	$4,265.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $8,128.31 / $8,128.31	Facility		$56.23	$8,128.31	$8,128.31
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $812.83 / $812.83 / $812.83	Facility	AS	$812.83	$812.83	$812.83