Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.37 / $11,155.00 / $15,260.00	Facility		$1,013.37	$11,155.00	$15,260.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $889.62 / $1,206.53 / $2,235.15	Facility		$889.62	$1,206.53	$2,235.15
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $227.40 / $241.31 / $443.74	Facility	80	$227.40	$241.31	$443.74
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $144.81 / $168.91 / $310.62	Facility	AS	$144.81	$168.91	$310.62
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 $5,804.75 / $26,542.00 / $27,770.10	Facility		$5,804.75	$26,542.00	$27,770.10
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $202.86 / $2,632.21 / $2,632.21	Facility	AS	$202.86	$2,632.21	$2,632.21