Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $710.52 / $6,735.00 / $8,413.00	Facility		$710.52	$6,735.00	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $710.52 / $1,059.76 / $1,755.62	Facility		$710.52	$1,059.76	$1,755.62
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $113.95 / $142.38 / $243.98	Facility	AS	$113.95	$142.38	$243.98
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $14,893.00 / $22,265.00	Facility		$6,688.00	$14,893.00	$22,265.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,646.60 / $17,070.15 / $26,542.00	Facility		$4,646.60	$17,070.15	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $158.93 / $173.73 / $1,618.01	Facility	AS	$158.93	$173.73	$1,618.01