Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,356.77 / $1,615.00 / $7,439.00	Facility		$1,356.77	$1,615.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,356.77 / $1,951.00 / $3,313.49	Facility		$1,356.77	$1,951.00	$3,313.49
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $381.33 / $390.20 / $662.70	Facility	80	$381.33	$390.20	$662.70
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $217.08 / $273.14 / $463.89	Facility	AS	$217.08	$273.14	$463.89
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 / $11,397.15 / $13,678.02	Facility		$55.00	$11,397.15	$13,678.02
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $305.22 / $329.40 / $635.69	Facility	AS	$305.22	$329.40	$635.69