Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,181.20 / $1,615.00 / $7,439.00	Facility		$1,181.20	$1,615.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $738.00 / $1,133.92 / $2,289.07	Facility		$738.00	$1,133.92	$2,289.07
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $147.60 / $168.27 / $565.73	Facility	80	$147.60	$168.27	$565.73
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $103.32 / $117.79 / $396.01	Facility	AS	$103.32	$117.79	$396.01
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 / $18,053.28 / $21,825.28	Facility		$55.00	$18,053.28	$21,825.28
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $267.57 / $298.16 / $582.35	Facility	AS	$267.57	$298.16	$582.35