Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.34 / $1,196.56 / $7,439.00	Facility		$767.34	$1,196.56	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $767.34 / $1,223.00 / $1,908.17	Facility		$767.34	$1,223.00	$1,908.17
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $124.14 / $171.36 / $267.14	Facility	AS	$124.14	$171.36	$267.14
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 / $9,478.69 / $11,475.10	Facility		$55.00	$9,478.69	$11,475.10
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $172.73 / $377.83 / $377.83	Facility	AS	$172.73	$377.83	$377.83