Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,403.57 / $7,439.00	Facility		$1,615.00	$2,403.57	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,129.79 / $3,000.72 / $5,377.00	Facility		$2,129.79	$3,000.72	$5,377.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $522.00 / $600.14 / $1,075.40	Facility	80	$522.00	$600.14	$1,075.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $347.18 / $420.10 / $752.78	Facility	AS	$347.18	$420.10	$752.78
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 / $17,983.89 / $22,236.21	Facility		$55.00	$17,983.89	$22,236.21
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $3,117.96 / $6,616.10 / $6,616.10	Facility	62	$3,117.96	$6,616.10	$6,616.10
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $498.87 / $1,058.58 / $1,058.58	Facility	AS	$498.87	$1,058.58	$1,058.58