Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,677.01 / $11,270.00 / $23,667.77	Facility		$2,677.01	$11,270.00	$23,667.77
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $702.37 / $956.21 / $1,151.95	Facility	52	$702.37	$956.21	$1,151.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,404.73 / $2,317.50 / $3,593.30	Facility		$1,404.73	$2,317.50	$3,593.30
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $398.00 / $476.03 / $746.40	Facility	80	$398.00	$476.03	$746.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $190.57 / $296.51 / $522.44	Facility	AS	$190.57	$296.51	$522.44
United Facility/Professional Facility Modifier Low / Median / High Price $10,829.00 / $22,655.00 / $29,047.00	Facility		$10,829.00	$22,655.00	$29,047.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $8,776.08 / $22,189.40	Facility		$2,800.00	$8,776.08	$22,189.40
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $2,188.61 / $16,840.24 / $16,840.24	Facility	52	$2,188.61	$16,840.24	$16,840.24
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $1,709.85 / $13,156.44 / $13,156.44	Facility	62	$1,709.85	$13,156.44	$13,156.44
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $273.58 / $2,105.03 / $2,105.03	Facility	AS	$273.58	$2,105.03	$2,105.03