Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,270.16 / $2,481.00 / $12,736.00	Facility		$1,270.16	$2,481.00	$12,736.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,270.16 / $1,663.99 / $3,359.93	Facility		$1,270.16	$1,663.99	$3,359.93
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $207.23 / $226.33 / $474.62	Facility	AS	$207.23	$226.33	$474.62
United Facility/Professional Facility Modifier Low / Median / High Price $6,492.00 / $14,174.00 / $21,454.00	Facility		$6,492.00	$14,174.00	$21,454.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,644.20 / $17,647.32	Facility		$55.00	$14,644.20	$17,647.32
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $284.73 / $635.59 / $635.59	Facility	AS	$284.73	$635.59	$635.59