Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $1,957.13 / $7,439.00	Facility		$1,615.00	$1,957.13	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $2,398.73 / $3,855.29	Facility		$1,086.00	$2,398.73	$3,855.29
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $217.20 / $370.69 / $923.62	Facility	80	$217.20	$370.69	$923.62
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $152.04 / $259.49 / $646.53	Facility	AS	$152.04	$259.49	$646.53
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 / $29,461.60 / $35,533.28	Facility		$55.00	$29,461.60	$35,533.28
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $442.15 / $484.22 / $937.99	Facility	AS	$442.15	$484.22	$937.99