Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.10 / $1,594.16 / $7,439.00	Facility		$1,000.10	$1,594.16	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,000.10 / $1,423.55 / $2,685.06	Facility		$1,000.10	$1,423.55	$2,685.06
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,980.00 / $2,135.33 / $3,672.11	Facility	50	$1,980.00	$2,135.33	$3,672.11
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $264.00 / $284.70 / $489.62	Facility	80	$264.00	$284.70	$489.62
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $160.22 / $199.30 / $342.73	Facility	AS	$160.22	$199.30	$342.73
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 / $14,964.32 / $17,951.68	Facility		$55.00	$14,964.32	$17,951.68
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $225.54 / $243.06 / $468.86	Facility	AS	$225.54	$243.06	$468.86