Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,248.64 / $1,615.00 / $7,439.00	Facility		$1,248.64	$1,615.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,248.64 / $2,076.94 / $3,174.64	Facility		$1,248.64	$2,076.94	$3,174.64
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $349.87 / $480.00 / $659.00	Facility	80	$349.87	$480.00	$659.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $203.60 / $336.00 / $461.30	Facility	AS	$203.60	$336.00	$461.30
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 / $9,391.84 / $11,592.96	Facility		$55.00	$9,391.84	$11,592.96
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $1,821.13 / $3,884.04 / $3,884.04	Facility	62	$1,821.13	$3,884.04	$3,884.04
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $291.38 / $621.45 / $621.45	Facility	AS	$291.38	$621.45	$621.45