Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.89 / $328.67 / $7,439.00	Facility		$208.89	$328.67	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $208.89 / $340.19 / $556.95	Facility		$208.89	$340.19	$556.95
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $62.80 / $68.04 / $110.91	Facility	80	$62.80	$68.04	$110.91
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $33.45 / $47.63 / $71.69	Facility	AS	$33.45	$47.63	$71.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $796.56 / $1,300.00	Facility		$55.00	$796.56	$1,300.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $47.12 / $102.75 / $102.75	Facility	AS	$47.12	$102.75	$102.75