Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,280.46 / $9,815.96 / $20,037.43	Facility		$1,280.46	$9,815.96	$20,037.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $821.63 / $1,333.09 / $1,888.03	Facility		$821.63	$1,333.09	$1,888.03
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $244.35 / $266.62 / $411.88	Facility	80	$244.35	$266.62	$411.88
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $133.93 / $186.63 / $288.32	Facility	AS	$133.93	$186.63	$288.32
United Facility/Professional Facility Modifier Low / Median / High Price $6,492.00 / $14,174.00 / $21,454.00	Facility		$6,492.00	$14,174.00	$21,454.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,373.97 / $12,650.00 / $27,770.10	Facility		$5,373.97	$12,650.00	$27,770.10
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $187.34 / $2,632.21 / $2,632.21	Facility	AS	$187.34	$2,632.21	$2,632.21