Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.90 / $3,707.00 / $5,449.00	Facility		$226.90	$3,707.00	$5,449.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $226.90 / $315.13 / $537.17	Facility		$226.90	$315.13	$537.17
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $60.70 / $63.03 / $121.68	Facility	80	$60.70	$63.03	$121.68
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $36.92 / $44.12 / $85.18	Facility	AS	$36.92	$44.12	$85.18
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $761.24 / $1,098.30	Facility		$55.00	$761.24	$1,098.30
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $49.82 / $109.83 / $109.83	Facility	AS	$49.82	$109.83	$109.83