Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.64 / $4,104.14 / $10,924.00	Facility		$917.64	$4,104.14	$10,924.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $917.64 / $1,288.91 / $1,915.22	Facility		$917.64	$1,288.91	$1,915.22
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $149.54 / $180.45 / $322.06	Facility	AS	$149.54	$180.45	$322.06
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $15,545.00 / $22,780.00	Facility		$6,688.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,997.53 / $22,189.40	Facility		$55.00	$5,997.53	$22,189.40
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $209.28 / $2,105.03 / $2,105.03	Facility	AS	$209.28	$2,105.03	$2,105.03