Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.71 / $1,615.00 / $12,615.00	Facility		$711.71	$1,615.00	$12,615.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $542.00 / $767.89 / $1,504.15	Facility		$542.00	$767.89	$1,504.15
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $75.88 / $89.99 / $240.58	Facility	AS	$75.88	$89.99	$240.58
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $15,545.00 / $22,780.00	Facility		$6,688.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,461.52 / $9,117.24	Facility		$55.00	$7,461.52	$9,117.24
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $163.37 / $183.54 / $357.85	Facility	AS	$163.37	$183.54	$357.85