Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,595.39 / $8,801.00 / $10,087.00	Facility		$1,595.39	$8,801.00	$10,087.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,070.14 / $1,371.34 / $2,678.90	Facility		$1,070.14	$1,371.34	$2,678.90
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $216.40 / $274.27 / $535.78	Facility	80	$216.40	$274.27	$535.78
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $151.47 / $190.40 / $375.05	Facility	AS	$151.47	$190.40	$375.05
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $7,067.76 / $16,547.20	Facility		$5,897.00	$7,067.76	$16,547.20
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $243.74 / $1,568.44 / $1,568.44	Facility	AS	$243.74	$1,568.44	$1,568.44