Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.72 / $4,482.47 / $4,482.47	Facility		$480.72	$4,482.47	$4,482.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $480.72 / $795.71 / $1,135.34	Facility		$480.72	$795.71	$1,135.34
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $77.95 / $132.71 / $178.18	Facility	AS	$77.95	$132.71	$178.18
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 / $1,158.06 / $2,321.66	Facility		$55.00	$1,158.06	$2,321.66
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $105.25 / $232.17 / $232.17	Facility	AS	$105.25	$232.17	$232.17