Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.54 / $5,410.35 / $10,453.00	Facility		$771.54	$5,410.35	$10,453.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $961.65 / $1,824.00	Facility		$760.00	$961.65	$1,824.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $106.40 / $145.16 / $255.36	Facility	AS	$106.40	$145.16	$255.36
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 $5,052.81 / $17,070.15 / $26,542.00	Facility		$5,052.81	$17,070.15	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $172.30 / $189.12 / $1,618.01	Facility	AS	$172.30	$189.12	$1,618.01