Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.13 / $1,658.89 / $10,103.67	Facility		$1,045.13	$1,658.89	$10,103.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,045.13 / $1,776.72 / $2,701.00	Facility		$1,045.13	$1,776.72	$2,701.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $295.67 / $451.80 / $510.47	Facility	80	$295.67	$451.80	$510.47
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $167.40 / $316.26 / $357.33	Facility	AS	$167.40	$316.26	$357.33
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 / $8,763.93 / $10,869.93	Facility		$55.00	$8,763.93	$10,869.93
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $234.54 / $253.41 / $489.29	Facility	AS	$234.54	$253.41	$489.29