Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,669.89 / $8,002.00 / $18,045.68	Facility		$1,669.89	$8,002.00	$18,045.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,166.51 / $1,515.60 / $2,913.54	Facility		$1,166.51	$1,515.60	$2,913.54
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $279.00 / $303.12 / $582.71	Facility	80	$279.00	$303.12	$582.71
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $189.25 / $212.18 / $407.90	Facility	AS	$189.25	$212.18	$407.90
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 $10,160.00 / $12,207.80 / $14,830.64	Facility		$10,160.00	$12,207.80	$14,830.64
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $265.64 / $576.66 / $576.66	Facility	AS	$265.64	$576.66	$576.66