Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $7,686.00 / $14,397.96	Facility		$1,020.00	$7,686.00	$14,397.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $894.10 / $1,146.64 / $2,240.60	Facility		$894.10	$1,146.64	$2,240.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $145.72 / $160.53 / $313.68	Facility	AS	$145.72	$160.53	$313.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,677.12 / $8,209.12	Facility		$55.00	$6,677.12	$8,209.12
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $203.83 / $442.90 / $442.90	Facility	AS	$203.83	$442.90	$442.90