Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,000.00 / $21,379.62	Facility		$3,715.35	$10,000.00	$21,379.62
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility	22	$6,760.83	$6,760.83	$6,760.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $2,454.71	Facility		$1,174.90	$1,445.44	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $15,135.61 / $22,908.68	Facility		$6,760.83	$15,135.61	$22,908.68
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $27,542.29 / $27,542.29	Facility		$2,818.38	$27,542.29	$27,542.29
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility	AS	$2,754.23	$2,754.23	$2,754.23