Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $819.18 / $4,376.00 / $10,563.68	Facility		$819.18	$4,376.00	$10,563.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $819.18 / $1,199.49 / $2,158.98	Facility		$819.18	$1,199.49	$2,158.98
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $133.46 / $168.84 / $302.26	Facility	AS	$133.46	$168.84	$302.26
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $8,810.78 / $16,394.00 / $17,524.30	Facility		$8,810.78	$16,394.00	$17,524.30
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $1,138.55 / $10,381.59 / $10,381.59	Facility	62	$1,138.55	$10,381.59	$10,381.59
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $182.17 / $1,661.06 / $1,661.06	Facility	AS	$182.17	$1,661.06	$1,661.06