Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.98 / $4,488.50 / $8,158.00	Facility		$966.98	$4,488.50	$8,158.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $690.42 / $991.70 / $1,418.14	Facility		$690.42	$991.70	$1,418.14
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $176.72 / $205.54 / $346.72	Facility	80	$176.72	$205.54	$346.72
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $112.74 / $143.88 / $242.70	Facility	AS	$112.74	$143.88	$242.70
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,081.00 / $19,066.00	Facility		$5,293.00	$12,081.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,529.42 / $17,704.40	Facility		$55.00	$4,529.42	$17,704.40
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $158.05 / $1,678.13 / $1,678.13	Facility	AS	$158.05	$1,678.13	$1,678.13