Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,173.53 / $3,875.00 / $12,615.00	Facility		$1,173.53	$3,875.00	$12,615.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,173.53 / $1,634.37 / $2,966.91	Facility		$1,173.53	$1,634.37	$2,966.91
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $278.60 / $326.87 / $593.38	Facility	80	$278.60	$326.87	$593.38
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $191.50 / $228.81 / $415.37	Facility	AS	$191.50	$228.81	$415.37
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 $8,848.32 / $10,160.00 / $10,929.04	Facility		$8,848.32	$10,160.00	$10,929.04
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $273.47 / $587.71 / $587.71	Facility	AS	$273.47	$587.71	$587.71