Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.13 / $1,245.00 / $11,843.35	Facility		$261.13	$1,245.00	$11,843.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $261.13 / $335.44 / $644.02	Facility		$261.13	$335.44	$644.02
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $63.40 / $67.09 / $128.80	Facility	80	$63.40	$67.09	$128.80
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $42.01 / $46.96 / $90.16	Facility	AS	$42.01	$46.96	$90.16
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 / $874.91 / $2,922.50	Facility		$55.00	$874.91	$2,922.50
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $58.84 / $125.10 / $125.10	Facility	AS	$58.84	$125.10	$125.10