Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.37 / $391.18 / $7,439.00	Facility		$181.37	$391.18	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.37 / $386.56 / $567.67	Facility		$181.37	$386.56	$567.67
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $68.59 / $83.40 / $104.81	Facility	80	$68.59	$83.40	$104.81
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $28.98 / $58.38 / $73.37	Facility	AS	$28.98	$58.38	$73.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,064.00 / $3,906.00 / $6,388.00	Facility		$1,064.00	$3,906.00	$6,388.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $441.30 / $1,315.64	Facility		$55.00	$441.30	$1,315.64
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $40.86 / $44.13 / $104.62	Facility	AS	$40.86	$44.13	$104.62