Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,398.03 / $1,615.00 / $7,439.00	Facility		$1,398.03	$1,615.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,398.03 / $2,056.00 / $3,280.62	Facility		$1,398.03	$2,056.00	$3,280.62
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $394.04 / $411.20 / $656.12	Facility	80	$394.04	$411.20	$656.12
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $224.71 / $287.83 / $459.29	Facility	AS	$224.71	$287.83	$459.29
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 / $11,788.92 / $14,145.66	Facility		$55.00	$11,788.92	$14,145.66
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $315.82 / $340.59 / $657.10	Facility	AS	$315.82	$340.59	$657.10