Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $3,630.78 / $12,302.69	Facility		$288.40	$3,630.78	$12,302.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $323.59 / $524.81	Facility		$245.47	$323.59	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $812.83 / $1,949.84	Facility		$363.08	$812.83	$1,949.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $33,884.42	Facility		$3,890.45	$3,890.45	$33,884.42
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $154.88 / $154.88 / $154.88	Facility	AS	$154.88	$154.88	$154.88