Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $1,768.01 / $7,439.00	Facility		$1,615.00	$1,768.01	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,618.75 / $2,425.00 / $3,768.67	Facility		$1,618.75	$2,425.00	$3,768.67
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $456.68 / $485.00 / $753.73	Facility	80	$456.68	$485.00	$753.73
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $258.83 / $339.50 / $527.61	Facility	AS	$258.83	$339.50	$527.61
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 / $13,573.44 / $16,278.12	Facility		$55.00	$13,573.44	$16,278.12
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $364.28 / $391.69 / $754.73	Facility	AS	$364.28	$391.69	$754.73