Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,177.08 / $1,615.00 / $7,439.00	Facility		$1,177.08	$1,615.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,177.08 / $1,751.11 / $2,968.80	Facility		$1,177.08	$1,751.11	$2,968.80
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,696.16 / $2,670.00 / $4,453.20	Facility	50	$1,696.16	$2,670.00	$4,453.20
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $303.14 / $356.00 / $593.76	Facility	80	$303.14	$356.00	$593.76
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $192.23 / $249.20 / $415.63	Facility	AS	$192.23	$249.20	$415.63
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 $55.00 / $8,957.60 / $10,964.16	Facility		$55.00	$8,957.60	$10,964.16
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $270.76 / $590.08 / $590.08	Facility	AS	$270.76	$590.08	$590.08