Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,006.56 / $7,439.00	Facility		$1,615.00	$2,006.56	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,006.56 / $2,547.50 / $5,307.83	Facility		$2,006.56	$2,547.50	$5,307.83
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $408.80 / $499.42 / $1,067.92	Facility	80	$408.80	$499.42	$1,067.92
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $286.16 / $349.60 / $743.06	Facility	AS	$286.16	$349.60	$743.06
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 / $21,643.82 / $25,582.26	Facility		$55.00	$21,643.82	$25,582.26
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $439.07 / $993.71 / $993.71	Facility	AS	$439.07	$993.71	$993.71