Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,295.00 / $14,528.00 / $26,883.80	Facility		$2,295.00	$14,528.00	$26,883.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,452.47 / $2,009.87 / $3,362.72	Facility		$1,452.47	$2,009.87	$3,362.72
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $350.80 / $407.41 / $735.04	Facility	80	$350.80	$407.41	$735.04
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $236.98 / $270.82 / $514.53	Facility	AS	$236.98	$270.82	$514.53
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $14,893.00 / $22,780.00	Facility		$6,688.00	$14,893.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $10,160.00 / $10,922.56 / $22,189.40	Facility		$10,160.00	$10,922.56	$22,189.40
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $339.50 / $2,105.03 / $2,105.03	Facility	AS	$339.50	$2,105.03	$2,105.03