Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,277.09 / $5,770.84 / $12,247.00	Facility		$1,277.09	$5,770.84	$12,247.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,277.09 / $1,628.55 / $3,192.10	Facility		$1,277.09	$1,628.55	$3,192.10
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $296.60 / $317.61 / $638.41	Facility	80	$296.60	$317.61	$638.41
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $207.57 / $222.32 / $446.89	Facility	AS	$207.57	$222.32	$446.89
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 $55.00 / $8,505.98 / $13,960.05	Facility		$55.00	$8,505.98	$13,960.05
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $289.04 / $1,324.34 / $1,324.34	Facility	AS	$289.04	$1,324.34	$1,324.34