Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,006.74 / $10,087.00 / $11,986.00	Facility		$1,006.74	$10,087.00	$11,986.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $894.30 / $1,257.48 / $2,264.69	Facility		$894.30	$1,257.48	$2,264.69
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $219.00 / $251.50 / $452.94	Facility	80	$219.00	$251.50	$452.94
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $146.13 / $176.05 / $317.06	Facility	AS	$146.13	$176.05	$317.06
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 $6,741.12 / $10,160.00 / $13,486.75	Facility		$6,741.12	$10,160.00	$13,486.75
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $209.20 / $1,279.44 / $1,279.44	Facility	AS	$209.20	$1,279.44	$1,279.44