Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.88 / $2,420.15 / $7,869.96	Facility		$321.88	$2,420.15	$7,869.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $224.50 / $315.13 / $530.53	Facility		$224.50	$315.13	$530.53
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $60.70 / $63.03 / $120.00	Facility	80	$60.70	$63.03	$120.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $36.33 / $44.12 / $84.00	Facility	AS	$36.33	$44.12	$84.00
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 / $645.90 / $1,087.32	Facility		$55.00	$645.90	$1,087.32
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $49.48 / $108.73 / $108.73	Facility	AS	$49.48	$108.73	$108.73