Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,205.73 / $7,439.00	Facility		$1,615.00	$2,205.73	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,132.75 / $3,108.59 / $5,622.40	Facility		$2,132.75	$3,108.59	$5,622.40
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $522.84 / $623.40 / $1,125.72	Facility	80	$522.84	$623.40	$1,125.72
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $347.59 / $436.38 / $787.94	Facility	AS	$347.59	$436.38	$787.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,064.00 / $3,906.00 / $6,388.00	Facility		$1,064.00	$3,906.00	$6,388.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $25,162.68 / $29,813.52	Facility		$55.00	$25,162.68	$29,813.52
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $470.47 / $1,067.11 / $1,067.11	Facility	AS	$470.47	$1,067.11	$1,067.11