Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.89 / $4,108.50 / $9,561.00	Facility		$720.89	$4,108.50	$9,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $641.66 / $836.01 / $1,493.66	Facility		$641.66	$836.01	$1,493.66
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $128.33 / $168.40 / $298.73	Facility	80	$128.33	$168.40	$298.73
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $89.83 / $117.88 / $209.11	Facility	AS	$89.83	$117.88	$209.11
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,207.50 / $17,704.40	Facility		$55.00	$3,207.50	$17,704.40
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $157.22 / $1,678.13 / $1,678.13	Facility	AS	$157.22	$1,678.13	$1,678.13