Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $1,835.72 / $7,439.00	Facility		$1,615.00	$1,835.72	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,835.72 / $2,338.21 / $4,861.14	Facility		$1,835.72	$2,338.21	$4,861.14
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $292.45 / $320.76 / $680.53	Facility	AS	$292.45	$320.76	$680.53
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 / $21,658.20 / $25,619.52	Facility		$55.00	$21,658.20	$25,619.52
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $403.48 / $913.46 / $913.46	Facility	AS	$403.48	$913.46	$913.46