Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.46 / $4,723.10 / $10,087.00	Facility		$524.46	$4,723.10	$10,087.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $524.46 / $668.30 / $1,319.35	Facility		$524.46	$668.30	$1,319.35
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $118.40 / $130.24 / $266.17	Facility	80	$118.40	$130.24	$266.17
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $82.88 / $91.17 / $184.71	Facility	AS	$82.88	$91.17	$184.71
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,456.55 / $12,623.50	Facility		$55.00	$2,456.55	$12,623.50
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $120.63 / $1,196.53 / $1,196.53	Facility	AS	$120.63	$1,196.53	$1,196.53