Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,051.86 / $6,979.84 / $10,924.00	Facility		$1,051.86	$6,979.84	$10,924.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $579.00 / $827.19 / $1,449.47	Facility		$579.00	$827.19	$1,449.47
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $115.80 / $171.56 / $304.83	Facility	80	$115.80	$171.56	$304.83
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $81.06 / $120.09 / $213.39	Facility	AS	$81.06	$120.09	$213.39
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 $2,839.75 / $12,623.50 / $26,542.00	Facility		$2,839.75	$12,623.50	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $139.33 / $1,196.53 / $1,196.53	Facility	AS	$139.33	$1,196.53	$1,196.53