Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,287.32 / $1,615.00 / $7,439.00	Facility		$1,287.32	$1,615.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,287.32 / $2,188.44 / $3,300.00	Facility		$1,287.32	$2,188.44	$3,300.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $365.66 / $446.40 / $618.20	Facility	80	$365.66	$446.40	$618.20
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $206.11 / $312.48 / $432.74	Facility	AS	$206.11	$312.48	$432.74
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 / $10,826.46 / $12,988.80	Facility		$55.00	$10,826.46	$12,988.80
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $290.06 / $312.68 / $603.20	Facility	AS	$290.06	$312.68	$603.20