Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $781.20 / $6,012.39 / $9,627.46	Facility		$781.20	$6,012.39	$9,627.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $505.03 / $693.29 / $1,284.52	Facility		$505.03	$693.29	$1,284.52
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $130.80 / $138.66 / $266.60	Facility	80	$130.80	$138.66	$266.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $82.32 / $97.06 / $178.51	Facility	AS	$82.32	$97.06	$178.51
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $15,545.00 / $22,780.00	Facility		$6,688.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,354.61 / $16,223.75 / $26,542.00	Facility		$3,354.61	$16,223.75	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $116.63 / $1,537.78 / $1,537.78	Facility	AS	$116.63	$1,537.78	$1,537.78