Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,858.14 / $12,175.92 / $20,481.00	Facility		$4,858.14	$12,175.92	$20,481.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,199.96 / $1,794.82 / $2,673.13	Facility		$1,199.96	$1,794.82	$2,673.13
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $333.58 / $358.96 / $603.86	Facility	80	$333.58	$358.96	$603.86
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $195.56 / $251.27 / $422.70	Facility	AS	$195.56	$251.27	$422.70
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 $5,897.00 / $7,893.83 / $27,770.10	Facility		$5,897.00	$7,893.83	$27,770.10
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $274.57 / $2,632.21 / $2,632.21	Facility	AS	$274.57	$2,632.21	$2,632.21