Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.51 / $6,953.00 / $11,098.82	Facility		$550.51	$6,953.00	$11,098.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $550.51 / $857.00 / $1,351.63	Facility		$550.51	$857.00	$1,351.63
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $152.36 / $171.40 / $259.20	Facility	80	$152.36	$171.40	$259.20
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $88.35 / $119.98 / $181.44	Facility	AS	$88.35	$119.98	$181.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,620.33 / $7,984.00	Facility		$55.00	$4,620.33	$7,984.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $121.77 / $135.34 / $757.42	Facility	AS	$121.77	$135.34	$757.42