Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,493.20 / $9,706.24 / $20,389.37	Facility		$1,493.20	$9,706.24	$20,389.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $967.22 / $1,275.00 / $2,009.94	Facility		$967.22	$1,275.00	$2,009.94
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $249.79 / $255.00 / $486.07	Facility	80	$249.79	$255.00	$486.07
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $158.02 / $178.50 / $340.25	Facility	AS	$158.02	$178.50	$340.25
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 $6,363.63 / $21,000.00 / $27,770.10	Facility		$6,363.63	$21,000.00	$27,770.10
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $221.43 / $2,632.21 / $2,632.21	Facility	AS	$221.43	$2,632.21	$2,632.21