Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.29 / $854.65 / $7,187.43	Facility		$569.29	$854.65	$7,187.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $569.29 / $683.15 / $1,466.22	Facility		$569.29	$683.15	$1,466.22
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $883.50 / $988.52 / $2,199.33	Facility	50	$883.50	$988.52	$2,199.33
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $82.46 / $92.26 / $205.27	Facility	AS	$82.46	$92.26	$205.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,753.60 / $11,028.25	Facility		$55.00	$6,753.60	$11,028.25
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $129.12 / $1,045.32 / $1,045.32	Facility	AS	$129.12	$1,045.32	$1,045.32