Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,603.08 / $8,587.36 / $11,609.00	Facility		$2,603.08	$8,587.36	$11,609.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $952.45 / $1,320.00 / $2,381.23	Facility		$952.45	$1,320.00	$2,381.23
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $252.71 / $264.00 / $476.25	Facility	80	$252.71	$264.00	$476.25
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $154.93 / $184.80 / $333.37	Facility	AS	$154.93	$184.80	$333.37
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 / $6,328.07 / $16,547.20	Facility		$5,897.00	$6,328.07	$16,547.20
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $216.16 / $1,568.44 / $1,568.44	Facility	AS	$216.16	$1,568.44	$1,568.44