Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.23 / $5,749.28 / $13,416.13	Facility		$1,071.23	$5,749.28	$13,416.13
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $6,251.85 / $6,251.85 / $6,251.85	Facility	22	$6,251.85	$6,251.85	$6,251.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $694.33 / $1,028.00 / $1,744.50	Facility		$694.33	$1,028.00	$1,744.50
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $191.47 / $205.60 / $348.90	Facility	80	$191.47	$205.60	$348.90
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $113.38 / $143.91 / $244.23	Facility	AS	$113.38	$143.91	$244.23
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 $4,607.68 / $5,897.00 / $16,223.75	Facility		$4,607.68	$5,897.00	$16,223.75
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $159.36 / $1,537.78 / $1,537.78	Facility	AS	$159.36	$1,537.78	$1,537.78