Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,198.40 / $1,615.00 / $7,439.00	Facility		$1,198.40	$1,615.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,198.40 / $1,875.02 / $2,518.52	Facility		$1,198.40	$1,875.02	$2,518.52
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $192.78 / $273.49 / $390.10	Facility	AS	$192.78	$273.49	$390.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,064.00 / $3,906.00 / $6,388.00	Facility		$1,064.00	$3,906.00	$6,388.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,032.12 / $12,040.47	Facility		$55.00	$10,032.12	$12,040.47
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $268.81 / $289.99 / $559.46	Facility	AS	$268.81	$289.99	$559.46