Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,089.21 / $1,615.00 / $7,439.00	Facility		$1,089.21	$1,615.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,089.21 / $1,703.48 / $2,287.71	Facility		$1,089.21	$1,703.48	$2,287.71
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,278.82 / $2,666.31 / $3,803.77	Facility	50	$2,278.82	$2,666.31	$3,803.77
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $303.83 / $355.51 / $507.17	Facility	80	$303.83	$355.51	$507.17
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $174.45 / $248.86 / $355.02	Facility	AS	$174.45	$248.86	$355.02
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 / $9,129.24 / $10,960.02	Facility		$55.00	$9,129.24	$10,960.02
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $244.42 / $264.05 / $509.71	Facility	AS	$244.42	$264.05	$509.71