Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,467.37 / $8,709.64	Facility		$2,137.96	$3,467.37	$8,709.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $4,786.30	Facility		$2,137.96	$3,019.95	$4,786.30
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 / $22,387.21 / $22,387.21	Facility		$56.23	$22,387.21	$22,387.21
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Facility	62	$13,803.84	$13,803.84	$13,803.84
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility	AS	$2,238.72	$2,238.72	$2,238.72