Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,382.15 / $7,439.00	Facility		$1,615.00	$2,382.15	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,382.15 / $3,124.41 / $4,908.85	Facility		$2,382.15	$3,124.41	$4,908.85
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $572.00 / $624.88 / $1,187.40	Facility	80	$572.00	$624.88	$1,187.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $385.96 / $437.42 / $831.18	Facility	AS	$385.96	$437.42	$831.18
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 / $25,012.68 / $30,280.80	Facility		$55.00	$25,012.68	$30,280.80
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $3,352.24 / $7,386.49 / $7,386.49	Facility	62	$3,352.24	$7,386.49	$7,386.49
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $536.36 / $1,181.83 / $1,181.83	Facility	AS	$536.36	$1,181.83	$1,181.83