Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,035.10 / $9,561.00 / $11,986.00	Facility		$2,035.10	$9,561.00	$11,986.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,245.79 / $1,961.00 / $3,295.00	Facility		$1,245.79	$1,961.00	$3,295.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,623.28 / $2,941.50 / $4,959.37	Facility	50	$2,623.28	$2,941.50	$4,959.37
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $349.77 / $392.20 / $661.27	Facility	80	$349.77	$392.20	$661.27
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $179.31 / $274.54 / $462.85	Facility	AS	$179.31	$274.54	$462.85
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,248.64 / $27,110.45	Facility		$55.00	$8,248.64	$27,110.45
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $256.89 / $2,569.69 / $2,569.69	Facility	AS	$256.89	$2,569.69	$2,569.69