Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.71 / $1,570.31 / $7,439.00	Facility		$1,015.71	$1,570.31	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,015.71 / $1,277.00 / $2,669.80	Facility		$1,015.71	$1,277.00	$2,669.80
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $155.26 / $172.71 / $373.77	Facility	AS	$155.26	$172.71	$373.77
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 / $9,990.50 / $11,883.00	Facility		$55.00	$9,990.50	$11,883.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $226.13 / $513.29 / $513.29	Facility	AS	$226.13	$513.29	$513.29