Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.24 / $8,887.75 / $10,087.00	Facility		$747.24	$8,887.75	$10,087.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $747.24 / $1,004.00 / $1,883.78	Facility		$747.24	$1,004.00	$1,883.78
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $182.77 / $200.80 / $385.78	Facility	80	$182.77	$200.80	$385.78
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $121.90 / $140.56 / $270.04	Facility	AS	$121.90	$140.56	$270.04
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,939.27 / $6,065.64	Facility		$55.00	$4,939.27	$6,065.64
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $171.82 / $376.31 / $376.31	Facility	AS	$171.82	$376.31	$376.31