Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,102.00 / $7,514.00 / $10,034.00	Facility		$1,102.00	$7,514.00	$10,034.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $694.94 / $890.58 / $1,743.16	Facility		$694.94	$890.58	$1,743.16
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $170.60 / $174.94 / $348.63	Facility	80	$170.60	$174.94	$348.63
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $113.29 / $122.46 / $244.04	Facility	AS	$113.29	$122.46	$244.04
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 $4,626.72 / $5,897.00 / $16,223.75	Facility		$4,626.72	$5,897.00	$16,223.75
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $159.15 / $1,537.78 / $1,537.78	Facility	AS	$159.15	$1,537.78	$1,537.78