Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,490.52 / $7,439.00 / $8,824.84	Facility		$1,490.52	$7,439.00	$8,824.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,036.74 / $1,340.13 / $2,594.46	Facility		$1,036.74	$1,340.13	$2,594.46
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $261.00 / $265.51 / $518.89	Facility	80	$261.00	$265.51	$518.89
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $168.91 / $185.86 / $363.22	Facility	AS	$168.91	$185.86	$363.22
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $11,617.00 / $17,964.00	Facility		$5,293.00	$11,617.00	$17,964.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $6,861.54 / $13,960.05	Facility		$5,897.00	$6,861.54	$13,960.05
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $235.98 / $1,324.34 / $1,324.34	Facility	AS	$235.98	$1,324.34	$1,324.34