Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,905.46 / $8,709.64	Facility		$1,174.90	$1,905.46	$8,709.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,454.71	Facility		$1,174.90	$1,621.81	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,890.45 / $6,918.31	Facility		$1,174.90	$3,890.45	$6,918.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $10,964.78 / $10,964.78	Facility		$56.23	$10,964.78	$10,964.78
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility	AS	$1,096.48	$1,096.48	$1,096.48