Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $7,227.81 / $20,382.66	Facility		$1,245.00	$7,227.81	$20,382.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $829.48 / $1,259.00 / $2,081.41	Facility		$829.48	$1,259.00	$2,081.41
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $210.82 / $258.80 / $416.28	Facility	80	$210.82	$258.80	$416.28
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $135.29 / $181.16 / $291.39	Facility	AS	$135.29	$181.16	$291.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $10,622.00 / $14,589.00	Facility		$3,366.00	$10,622.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,434.52 / $12,623.50	Facility		$55.00	$5,434.52	$12,623.50
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $189.31 / $1,196.53 / $1,196.53	Facility	AS	$189.31	$1,196.53	$1,196.53