Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $5,277.78 / $8,429.70	Facility		$1,615.00	$5,277.78	$8,429.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5,277.78 / $6,133.00 / $8,972.23	Facility		$5,277.78	$6,133.00	$8,972.23
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $1,204.72 / $1,226.59 / $1,876.29	Facility	80	$1,204.72	$1,226.59	$1,876.29
United Facility/Professional Facility Modifier Low / Median / High Price $301.00 / $661.00 / $4,877.00	Facility		$301.00	$661.00	$4,877.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $155,865.21 / $188,241.61	Facility		$55.00	$155,865.21	$188,241.61
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $7,406.61 / $16,234.19 / $16,234.19	Facility	62	$7,406.61	$16,234.19	$16,234.19