Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.59 / $5,751.09 / $10,561.00	Facility		$785.59	$5,751.09	$10,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $785.59 / $1,045.82 / $1,839.86	Facility		$785.59	$1,045.82	$1,839.86
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $171.00 / $224.60 / $367.97	Facility	80	$171.00	$224.60	$367.97
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $119.70 / $157.22 / $257.58	Facility	AS	$119.70	$157.22	$257.58
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 $5,145.63 / $17,070.15 / $26,542.00	Facility		$5,145.63	$17,070.15	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $175.68 / $192.71 / $1,618.01	Facility	AS	$175.68	$192.71	$1,618.01