Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.15 / $1,338.00 / $8,413.00	Facility		$699.15	$1,338.00	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $699.15 / $1,064.73 / $1,715.25	Facility		$699.15	$1,064.73	$1,715.25
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $112.98 / $142.52 / $232.92	Facility	AS	$112.98	$142.52	$232.92
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 $4,653.53 / $17,070.15 / $26,542.00	Facility		$4,653.53	$17,070.15	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $158.78 / $174.28 / $1,618.01	Facility	AS	$158.78	$174.28	$1,618.01