Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.45 / $2,938.00 / $7,299.84	Facility		$316.45	$2,938.00	$7,299.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $236.64 / $310.14 / $588.14	Facility		$236.64	$310.14	$588.14
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $61.00 / $61.47 / $117.63	Facility	80	$61.00	$61.47	$117.63
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $38.46 / $43.03 / $82.34	Facility	AS	$38.46	$43.03	$82.34
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $749.71 / $3,855.60	Facility		$55.00	$749.71	$3,855.60
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $53.85 / $114.64 / $114.64	Facility	AS	$53.85	$114.64	$114.64