Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.98 / $10,493.54 / $19,049.65	Facility		$958.98	$10,493.54	$19,049.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $737.60 / $1,199.33 / $1,955.66	Facility		$737.60	$1,199.33	$1,955.66
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $212.20 / $239.87 / $386.40	Facility	80	$212.20	$239.87	$386.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $120.76 / $167.91 / $270.48	Facility	AS	$120.76	$167.91	$270.48
United Facility/Professional Facility Modifier Low / Median / High Price $12,077.00 / $25,735.00 / $43,834.00	Facility		$12,077.00	$25,735.00	$43,834.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,892.37 / $12,000.00 / $98,066.20	Facility		$4,892.37	$12,000.00	$98,066.20
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $173.79 / $9,295.29 / $9,295.29	Facility	AS	$173.79	$9,295.29	$9,295.29