Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,524.44 / $9,535.50 / $35,567.14	Facility		$1,524.44	$9,535.50	$35,567.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,301.55 / $1,925.00 / $3,289.83	Facility		$1,301.55	$1,925.00	$3,289.83
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $324.39 / $385.00 / $657.97	Facility	80	$324.39	$385.00	$657.97
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $212.26 / $269.50 / $460.58	Facility	AS	$212.26	$269.50	$460.58
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 $9,780.64 / $10,160.00 / $12,097.52	Facility		$9,780.64	$10,160.00	$12,097.52
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $304.87 / $648.67 / $648.67	Facility	AS	$304.87	$648.67	$648.67