Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $10,477.14 / $15,698.08	Facility		$1,245.00	$10,477.14	$15,698.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $794.57 / $1,278.67 / $1,896.74	Facility		$794.57	$1,278.67	$1,896.74
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $235.08 / $255.73 / $400.51	Facility	80	$235.08	$255.73	$400.51
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $129.97 / $179.01 / $280.36	Facility	AS	$129.97	$179.01	$280.36
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 $5,242.09 / $5,897.00 / $27,770.10	Facility		$5,242.09	$5,897.00	$27,770.10
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $182.68 / $2,632.21 / $2,632.21	Facility	AS	$182.68	$2,632.21	$2,632.21