Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,882.67 / $17,351.00	Facility		$1,615.00	$2,882.67	$17,351.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,775.48 / $2,542.39 / $3,651.04	Facility		$1,775.48	$2,542.39	$3,651.04
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $301.83 / $358.70 / $652.79	Facility	AS	$301.83	$358.70	$652.79
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $12,650.00 / $15,685.47 / $19,265.66	Facility		$12,650.00	$15,685.47	$19,265.66
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $3,397.26 / $7,402.14 / $7,402.14	Facility	52	$3,397.26	$7,402.14	$7,402.14
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $424.66 / $925.27 / $925.27	Facility	AS	$424.66	$925.27	$925.27