Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.57 / $1,346.62 / $7,439.00	Facility		$873.57	$1,346.62	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $873.57 / $1,148.66 / $2,182.63	Facility		$873.57	$1,148.66	$2,182.63
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $141.19 / $160.81 / $303.32	Facility	AS	$141.19	$160.81	$303.32
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 / $10,781.94 / $13,056.16	Facility		$55.00	$10,781.94	$13,056.16
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $195.78 / $430.90 / $430.90	Facility	AS	$195.78	$430.90	$430.90