Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.03 / $1,245.00 / $7,439.00	Facility		$592.03	$1,245.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $592.03 / $710.98 / $1,541.69	Facility		$592.03	$710.98	$1,541.69
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $85.40 / $97.94 / $215.84	Facility	AS	$85.40	$97.94	$215.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,430.71 / $7,692.41	Facility		$55.00	$6,430.71	$7,692.41
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $134.00 / $305.79 / $305.79	Facility	AS	$134.00	$305.79	$305.79