Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.23 / $1,615.00 / $7,439.00	Facility		$1,104.23	$1,615.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,070.71 / $1,481.30 / $2,746.83	Facility		$1,070.71	$1,481.30	$2,746.83
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $179.08 / $207.38 / $384.56	Facility	AS	$179.08	$207.38	$384.56
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 / $13,630.37 / $16,526.38	Facility		$55.00	$13,630.37	$16,526.38
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $250.23 / $543.09 / $543.09	Facility	AS	$250.23	$543.09	$543.09