Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,268.85 / $7,686.00 / $29,727.60	Facility		$1,268.85	$7,686.00	$29,727.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $719.00 / $976.07 / $2,066.82	Facility		$719.00	$976.07	$2,066.82
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $100.66 / $136.65 / $305.13	Facility	AS	$100.66	$136.65	$305.13
United Facility/Professional Facility Modifier Low / Median / High Price $22,810.00 / $44,645.00 / $93,042.00	Facility		$22,810.00	$44,645.00	$93,042.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,049.78 / $26,542.00 / $149,114.40	Facility		$5,049.78	$26,542.00	$149,114.40
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $194.17 / $14,133.93 / $14,133.93	Facility	AS	$194.17	$14,133.93	$14,133.93