Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,309.25 / $7,439.00 / $12,615.00	Facility		$1,309.25	$7,439.00	$12,615.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,309.25 / $1,850.42 / $3,307.80	Facility		$1,309.25	$1,850.42	$3,307.80
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $328.40 / $370.08 / $661.56	Facility	80	$328.40	$370.08	$661.56
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $213.46 / $258.83 / $463.09	Facility	AS	$213.46	$258.83	$463.09
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 $9,828.00 / $10,160.00 / $12,155.12	Facility		$9,828.00	$10,160.00	$12,155.12
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $306.72 / $651.24 / $651.24	Facility	AS	$306.72	$651.24	$651.24