Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,801.89 / $9,120.11	Facility		$2,398.83	$3,801.89	$9,120.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $4,570.88	Facility		$2,398.83	$3,162.28	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,890.45 / $6,918.31	Facility		$1,174.90	$3,890.45	$6,918.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $30,199.52 / $30,199.52	Facility		$56.23	$30,199.52	$30,199.52
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $19,054.61 / $19,054.61 / $19,054.61	Facility	62	$19,054.61	$19,054.61	$19,054.61
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility	AS	$3,019.95	$3,019.95	$3,019.95