Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,369.50 / $6,700.79 / $9,561.00	Facility		$1,369.50	$6,700.79	$9,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $703.38 / $1,153.98 / $1,846.81	Facility		$703.38	$1,153.98	$1,846.81
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $140.68 / $276.39 / $376.62	Facility	80	$140.68	$276.39	$376.62
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $119.57 / $193.48 / $263.64	Facility	AS	$119.57	$193.48	$263.64
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 $4,821.67 / $16,373.40 / $26,542.00	Facility		$4,821.67	$16,373.40	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $169.09 / $1,551.97 / $1,551.97	Facility	AS	$169.09	$1,551.97	$1,551.97