Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,137.99 / $1,615.00 / $7,439.00	Facility		$1,137.99	$1,615.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,137.99 / $1,610.06 / $2,675.89	Facility		$1,137.99	$1,610.06	$2,675.89
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $264.80 / $322.01 / $533.99	Facility	80	$264.80	$322.01	$533.99
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $182.88 / $225.41 / $373.80	Facility	AS	$182.88	$225.41	$373.80
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 / $11,747.89 / $14,104.64	Facility		$55.00	$11,747.89	$14,104.64
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $257.32 / $278.05 / $536.77	Facility	AS	$257.32	$278.05	$536.77