Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,239.60 / $1,615.00 / $7,439.00	Facility		$1,239.60	$1,615.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,239.60 / $1,531.19 / $3,260.59	Facility		$1,239.60	$1,531.19	$3,260.59
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,891.50 / $2,252.51 / $4,890.88	Facility	50	$1,891.50	$2,252.51	$4,890.88
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $252.20 / $300.33 / $652.12	Facility	80	$252.20	$300.33	$652.12
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $176.54 / $210.23 / $456.48	Facility	AS	$176.54	$210.23	$456.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,210.20 / $14,513.20	Facility		$55.00	$12,210.20	$14,513.20
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $275.92 / $627.24 / $627.24	Facility	AS	$275.92	$627.24	$627.24