Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,011.96 / $4,259.14 / $9,861.56	Facility		$1,011.96	$4,259.14	$9,861.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,011.96 / $1,453.00 / $2,674.14	Facility		$1,011.96	$1,453.00	$2,674.14
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $250.42 / $290.60 / $534.83	Facility	80	$250.42	$290.60	$534.83
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $164.56 / $203.42 / $374.38	Facility	AS	$164.56	$203.42	$374.38
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 / $10,771.97 / $12,880.67	Facility		$55.00	$10,771.97	$12,880.67
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $1,402.40 / $3,169.64 / $3,169.64	Facility	62	$1,402.40	$3,169.64	$3,169.64
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $224.38 / $507.14 / $507.14	Facility	AS	$224.38	$507.14	$507.14