Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,474.01 / $7,439.00	Facility		$1,615.00	$2,474.01	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,474.01 / $3,140.49 / $6,535.79	Facility		$2,474.01	$3,140.49	$6,535.79
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $572.00 / $614.75 / $1,311.84	Facility	80	$572.00	$614.75	$1,311.84
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $400.40 / $430.33 / $914.97	Facility	AS	$400.40	$430.33	$914.97
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 / $29,111.52 / $34,405.80	Facility		$55.00	$29,111.52	$34,405.80
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $541.24 / $1,225.18 / $1,225.18	Facility	AS	$541.24	$1,225.18	$1,225.18