Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.47 / $1,337.56 / $7,439.00	Facility		$867.47	$1,337.56	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $867.47 / $1,092.55 / $2,271.17	Facility		$867.47	$1,092.55	$2,271.17
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $128.38 / $147.47 / $317.97	Facility	AS	$128.38	$147.47	$317.97
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 / $8,546.90 / $10,193.79	Facility		$55.00	$8,546.90	$10,193.79
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $194.66 / $441.93 / $441.93	Facility	AS	$194.66	$441.93	$441.93