Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $1,781.23 / $7,439.00	Facility		$1,615.00	$1,781.23	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,621.89 / $2,293.46 / $3,933.55	Facility		$1,621.89	$2,293.46	$3,933.55
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $424.80 / $458.69 / $757.87	Facility	80	$424.80	$458.69	$757.87
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $259.87 / $321.08 / $530.51	Facility	AS	$259.87	$321.08	$530.51
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 / $13,651.29 / $16,371.09	Facility		$55.00	$13,651.29	$16,371.09
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $365.94 / $393.91 / $759.56	Facility	AS	$365.94	$393.91	$759.56