Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.49 / $708.50 / $10,453.00	Facility		$450.49	$708.50	$10,453.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $450.49 / $545.64 / $1,127.05	Facility		$450.49	$545.64	$1,127.05
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $687.00 / $818.46 / $1,690.57	Facility	50	$687.00	$818.46	$1,690.57
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $64.12 / $76.39 / $157.79	Facility	AS	$64.12	$76.39	$157.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,353.00 / $6,885.00 / $9,616.00	Facility		$2,353.00	$6,885.00	$9,616.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,725.68 / $9,388.90 / $26,542.00	Facility		$1,725.68	$9,388.90	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $102.92 / $889.94 / $889.94	Facility	AS	$102.92	$889.94	$889.94