Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,794.69 / $7,498.44 / $11,986.00	Facility		$1,794.69	$7,498.44	$11,986.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $916.71 / $1,410.93 / $2,300.60	Facility		$916.71	$1,410.93	$2,300.60
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $235.32 / $292.60 / $460.12	Facility	80	$235.32	$292.60	$460.12
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $149.43 / $204.82 / $322.08	Facility	AS	$149.43	$204.82	$322.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,007.89 / $12,623.50	Facility		$55.00	$6,007.89	$12,623.50
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $209.18 / $1,196.53 / $1,196.53	Facility	AS	$209.18	$1,196.53	$1,196.53