Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,006.75 / $11,437.00 / $14,528.00	Facility		$2,006.75	$11,437.00	$14,528.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,298.49 / $1,651.79 / $3,244.11	Facility		$1,298.49	$1,651.79	$3,244.11
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $313.20 / $329.60 / $648.82	Facility	80	$313.20	$329.60	$648.82
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $211.36 / $230.72 / $454.18	Facility	AS	$211.36	$230.72	$454.18
United Facility/Professional Facility Modifier Low / Median / High Price $4,504.51 / $12,081.00 / $19,066.00	Facility		$4,504.51	$12,081.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $8,563.03 / $13,960.05	Facility		$5,897.00	$8,563.03	$13,960.05
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $294.83 / $1,324.34 / $1,324.34	Facility	AS	$294.83	$1,324.34	$1,324.34