Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,097.36 / $1,802.18 / $17,501.99	Facility		$1,097.36	$1,802.18	$17,501.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,097.36 / $1,756.16 / $2,907.48	Facility		$1,097.36	$1,756.16	$2,907.48
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $285.24 / $439.60 / $537.58	Facility	80	$285.24	$439.60	$537.58
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $176.04 / $307.72 / $376.31	Facility	AS	$176.04	$307.72	$376.31
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 / $11,297.55 / $13,559.59	Facility		$55.00	$11,297.55	$13,559.59
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $246.35 / $267.16 / $517.14	Facility	AS	$246.35	$267.16	$517.14