Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $1,967.31 / $7,439.00	Facility		$1,615.00	$1,967.31	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,967.31 / $2,769.00 / $4,915.00	Facility		$1,967.31	$2,769.00	$4,915.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $464.00 / $553.79 / $991.33	Facility	80	$464.00	$553.79	$991.33
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $321.05 / $387.66 / $693.93	Facility	AS	$321.05	$387.66	$693.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,691.22 / $20,489.75	Facility		$55.00	$16,691.22	$20,489.75
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $451.37 / $982.36 / $982.36	Facility	AS	$451.37	$982.36	$982.36