Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.18 / $5,229.62 / $10,942.88	Facility		$685.18	$5,229.62	$10,942.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $648.22 / $1,101.97 / $1,795.50	Facility		$648.22	$1,101.97	$1,795.50
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $175.09 / $225.80 / $332.00	Facility	80	$175.09	$225.80	$332.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $104.05 / $158.06 / $232.40	Facility	AS	$104.05	$158.06	$232.40
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 $4,256.00 / $17,070.15 / $26,542.00	Facility		$4,256.00	$17,070.15	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $145.25 / $159.12 / $1,618.01	Facility	AS	$145.25	$159.12	$1,618.01