Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $885.81 / $8,413.00 / $16,270.03	Facility		$885.81	$8,413.00	$16,270.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $789.20 / $1,272.33 / $2,094.89	Facility		$789.20	$1,272.33	$2,094.89
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $221.22 / $393.12 / $428.04	Facility	80	$221.22	$393.12	$428.04
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $128.99 / $269.01 / $299.63	Facility	AS	$128.99	$269.01	$299.63
United Facility/Professional Facility Modifier Low / Median / High Price $12,077.00 / $26,232.00 / $45,099.00	Facility		$12,077.00	$26,232.00	$45,099.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,980.08 / $26,542.00 / $97,992.80	Facility		$2,980.08	$26,542.00	$97,992.80
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $184.88 / $9,288.33 / $9,288.33	Facility	AS	$184.88	$9,288.33	$9,288.33