Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.03 / $1,261.84 / $7,439.00	Facility		$792.03	$1,261.84	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $792.03 / $1,324.00 / $2,128.80	Facility		$792.03	$1,324.00	$2,128.80
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,678.64 / $1,989.00 / $3,146.85	Facility	50	$1,678.64	$1,989.00	$3,146.85
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $223.82 / $265.20 / $419.60	Facility	80	$223.82	$265.20	$419.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $127.05 / $185.64 / $293.69	Facility	AS	$127.05	$185.64	$293.69
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 / $6,665.31 / $8,007.75	Facility		$55.00	$6,665.31	$8,007.75
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $177.99 / $193.08 / $373.40	Facility	AS	$177.99	$193.08	$373.40