Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $10,000.00	Facility		$1,047.13	$1,737.80	$10,000.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $3,090.30	Facility		$1,047.13	$1,621.81	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,890.45 / $6,918.31	Facility		$1,174.90	$3,890.45	$6,918.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $10,471.29 / $10,964.78	Facility		$56.23	$10,471.29	$10,964.78
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility	AS	$1,047.13	$1,047.13	$1,047.13