Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.28 / $1,933.00 / $15,291.00	Facility		$917.28	$1,933.00	$15,291.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $917.28 / $1,288.95 / $2,245.08	Facility		$917.28	$1,288.95	$2,245.08
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $146.93 / $180.45 / $300.20	Facility	AS	$146.93	$180.45	$300.20
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 $5,999.21 / $17,070.15 / $26,542.00	Facility		$5,999.21	$17,070.15	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $206.34 / $223.69 / $1,618.01	Facility	AS	$206.34	$223.69	$1,618.01