Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.21 / $1,615.00 / $8,413.00	Facility		$842.21	$1,615.00	$8,413.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $421.11 / $471.39 / $683.91	Facility	52	$421.11	$471.39	$683.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $842.21 / $1,175.76 / $2,140.25	Facility		$842.21	$1,175.76	$2,140.25
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $209.60 / $235.09 / $428.05	Facility	80	$209.60	$235.09	$428.05
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $137.66 / $153.02 / $299.64	Facility	AS	$137.66	$153.02	$299.64
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 $3,185.12 / $26,542.00 / $96,178.75	Facility		$3,185.12	$26,542.00	$96,178.75
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $1,582.46 / $72,931.03 / $72,931.03	Facility	52	$1,582.46	$72,931.03	$72,931.03
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $197.81 / $9,116.37 / $9,116.37	Facility	AS	$197.81	$9,116.37	$9,116.37