Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.65 / $1,615.00 / $7,439.00	Facility		$1,052.65	$1,615.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,052.65 / $1,484.43 / $2,593.00	Facility		$1,052.65	$1,484.43	$2,593.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $266.80 / $296.89 / $515.50	Facility	80	$266.80	$296.89	$515.50
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $168.85 / $207.82 / $360.85	Facility	AS	$168.85	$207.82	$360.85
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 / $8,861.04 / $10,645.56	Facility		$55.00	$8,861.04	$10,645.56
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $236.61 / $256.68 / $496.40	Facility	AS	$236.61	$256.68	$496.40