Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,512.35 / $9,946.29 / $14,860.62	Facility		$3,512.35	$9,946.29	$14,860.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $901.92 / $1,374.00 / $2,255.79	Facility		$901.92	$1,374.00	$2,255.79
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $242.72 / $274.80 / $451.16	Facility	80	$242.72	$274.80	$451.16
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $146.80 / $192.36 / $315.81	Facility	AS	$146.80	$192.36	$315.81
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 $5,897.00 / $5,971.49 / $16,223.75	Facility		$5,897.00	$5,971.49	$16,223.75
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $205.18 / $1,537.78 / $1,537.78	Facility	AS	$205.18	$1,537.78	$1,537.78