Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,137.94 / $1,615.00 / $7,439.00	Facility		$1,137.94	$1,615.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,137.94 / $1,609.71 / $2,802.75	Facility		$1,137.94	$1,609.71	$2,802.75
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $295.80 / $321.94 / $540.20	Facility	80	$295.80	$321.94	$540.20
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $182.83 / $225.36 / $378.14	Facility	AS	$182.83	$225.36	$378.14
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 / $17,051.68 / $20,476.00	Facility		$55.00	$17,051.68	$20,476.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $256.69 / $277.56 / $535.98	Facility	AS	$256.69	$277.56	$535.98