Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.03 / $7,278.00 / $27,065.42	Facility		$897.03	$7,278.00	$27,065.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $734.77 / $1,200.01 / $1,950.73	Facility		$734.77	$1,200.01	$1,950.73
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $194.20 / $240.00 / $373.24	Facility	80	$194.20	$240.00	$373.24
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $120.13 / $168.00 / $261.27	Facility	AS	$120.13	$168.00	$261.27
United Facility/Professional Facility Modifier Low / Median / High Price $9,324.00 / $20,568.00 / $28,286.00	Facility		$9,324.00	$20,568.00	$28,286.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,857.72 / $16,394.00 / $60,555.25	Facility		$4,857.72	$16,394.00	$60,555.25
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $172.39 / $5,739.78 / $5,739.78	Facility	AS	$172.39	$5,739.78	$5,739.78