Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,307.88 / $7,439.00	Facility		$1,615.00	$2,307.88	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,826.56 / $4,530.93	Facility		$2,211.00	$2,826.56	$4,530.93
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $309.54 / $395.72 / $852.77	Facility	AS	$309.54	$395.72	$852.77
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 / $27,167.52 / $32,133.36	Facility		$55.00	$27,167.52	$32,133.36
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $505.99 / $1,146.01 / $1,146.01	Facility	AS	$505.99	$1,146.01	$1,146.01