Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,859.36 / $7,439.00	Facility		$1,615.00	$2,859.36	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,682.84 / $3,939.68 / $7,085.73	Facility		$2,682.84	$3,939.68	$7,085.73
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $663.20 / $812.80 / $1,420.71	Facility	80	$663.20	$812.80	$1,420.71
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $436.63 / $568.96 / $991.96	Facility	AS	$436.63	$568.96	$991.96
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 / $31,579.32 / $37,349.28	Facility		$55.00	$31,579.32	$37,349.28
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $588.07 / $1,331.79 / $1,331.79	Facility	AS	$588.07	$1,331.79	$1,331.79