Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $1,922.82 / $7,439.00	Facility		$1,615.00	$1,922.82	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,922.82 / $2,447.30 / $5,078.89	Facility		$1,922.82	$2,447.30	$5,078.89
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $287.56 / $332.05 / $711.01	Facility	AS	$287.56	$332.05	$711.01
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 / $20,795.93 / $24,624.49	Facility		$55.00	$20,795.93	$24,624.49
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $423.58 / $960.27 / $960.27	Facility	AS	$423.58	$960.27	$960.27