Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.40 / $235.79 / $7,439.00	Facility		$147.40	$235.79	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.40 / $210.10 / $362.20	Facility		$147.40	$210.10	$362.20
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $41.40 / $42.02 / $71.91	Facility	80	$41.40	$42.02	$71.91
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $23.57 / $29.41 / $50.34	Facility	AS	$23.57	$29.41	$50.34
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 / $355.40 / $1,300.00	Facility		$55.00	$355.40	$1,300.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $33.42 / $35.54 / $68.19	Facility	AS	$33.42	$35.54	$68.19