Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,313.97 / $1,615.00 / $7,439.00	Facility		$1,313.97	$1,615.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,363.81 / $1,735.54 / $3,468.65	Facility		$1,363.81	$1,735.54	$3,468.65
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $218.40 / $237.42 / $505.26	Facility	AS	$218.40	$237.42	$505.26
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 / $16,011.60 / $19,012.91	Facility		$55.00	$16,011.60	$19,012.91
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $300.93 / $680.24 / $680.24	Facility	AS	$300.93	$680.24	$680.24