Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $1,836.94 / $7,439.00	Facility		$1,615.00	$1,836.94	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,657.76 / $2,773.00 / $4,125.00	Facility		$1,657.76	$2,773.00	$4,125.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $470.11 / $554.60 / $773.17	Facility	80	$470.11	$554.60	$773.17
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $265.58 / $388.22 / $541.22	Facility	AS	$265.58	$388.22	$541.22
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 / $24,739.36 / $29,689.28	Facility		$55.00	$24,739.36	$29,689.28
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $2,333.66 / $2,513.69 / $4,845.21	Facility	62	$2,333.66	$2,513.69	$4,845.21
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $373.39 / $402.19 / $775.23	Facility	AS	$373.39	$402.19	$775.23