Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.15 / $6,113.34 / $9,453.70	Facility		$1,023.15	$6,113.34	$9,453.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $544.00 / $840.18 / $1,338.74	Facility		$544.00	$840.18	$1,338.74
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $108.80 / $170.06 / $305.85	Facility	80	$108.80	$170.06	$305.85
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $76.16 / $119.04 / $214.10	Facility	AS	$76.16	$119.04	$214.10
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 $2,849.85 / $12,623.50 / $26,542.00	Facility		$2,849.85	$12,623.50	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $139.55 / $1,196.53 / $1,196.53	Facility	AS	$139.55	$1,196.53	$1,196.53