Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,109.15 / $1,615.00 / $7,439.00	Facility		$1,109.15	$1,615.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,109.15 / $1,660.89 / $2,927.35	Facility		$1,109.15	$1,660.89	$2,927.35
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $181.14 / $234.22 / $409.83	Facility	AS	$181.14	$234.22	$409.83
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 / $10,897.90 / $12,987.40	Facility		$55.00	$10,897.90	$12,987.40
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $247.81 / $559.96 / $559.96	Facility	AS	$247.81	$559.96	$559.96