Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,954.37 / $5,859.13 / $9,561.00	Facility		$1,954.37	$5,859.13	$9,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $961.38 / $1,365.86 / $2,024.91	Facility		$961.38	$1,365.86	$2,024.91
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $249.30 / $278.54 / $482.43	Facility	80	$249.30	$278.54	$482.43
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $156.59 / $194.98 / $337.70	Facility	AS	$156.59	$194.98	$337.70
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 $2,800.00 / $6,291.39 / $27,770.10	Facility		$2,800.00	$6,291.39	$27,770.10
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $219.80 / $2,632.21 / $2,632.21	Facility	AS	$219.80	$2,632.21	$2,632.21