Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.33 / $1,615.00 / $7,593.00	Facility		$510.33	$1,615.00	$7,593.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $510.33 / $740.45 / $1,319.97	Facility		$510.33	$740.45	$1,319.97
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $738.72 / $1,157.36 / $2,013.76	Facility	50	$738.72	$1,157.36	$2,013.76
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $68.95 / $94.08 / $184.80	Facility	AS	$68.95	$94.08	$184.80
United Facility/Professional Facility Modifier Low / Median / High Price $16,216.00 / $33,109.00 / $59,455.00	Facility		$16,216.00	$33,109.00	$59,455.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,026.52 / $16,394.00 / $114,021.05	Facility		$3,026.52	$16,394.00	$114,021.05
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $116.79 / $10,807.58 / $10,807.58	Facility	AS	$116.79	$10,807.58	$10,807.58