Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,028.71 / $7,798.22 / $11,885.86	Facility		$3,028.71	$7,798.22	$11,885.86
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $7,072.80 / $7,072.80 / $7,072.80	Facility	22	$7,072.80	$7,072.80	$7,072.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $701.91 / $1,084.34 / $1,781.07	Facility		$701.91	$1,084.34	$1,781.07
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $179.74 / $229.20 / $353.60	Facility	80	$179.74	$229.20	$353.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $114.62 / $160.44 / $247.52	Facility	AS	$114.62	$160.44	$247.52
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 $4,627.77 / $16,223.75 / $26,542.00	Facility		$4,627.77	$16,223.75	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $160.77 / $1,537.78 / $1,537.78	Facility	AS	$160.77	$1,537.78	$1,537.78