Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,989.04 / $11,525.00 / $26,065.42	Facility		$1,989.04	$11,525.00	$26,065.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,211.42 / $1,711.33 / $3,058.72	Facility		$1,211.42	$1,711.33	$3,058.72
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $303.00 / $342.27 / $611.74	Facility	80	$303.00	$342.27	$611.74
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $197.57 / $239.30 / $428.22	Facility	AS	$197.57	$239.30	$428.22
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $15,545.00 / $22,780.00	Facility		$6,688.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $9,087.28 / $10,160.00 / $22,189.40	Facility		$9,087.28	$10,160.00	$22,189.40
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $283.62 / $2,105.03 / $2,105.03	Facility	AS	$283.62	$2,105.03	$2,105.03