Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.29 / $1,615.00 / $6,953.60	Facility		$209.29	$1,615.00	$6,953.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $209.29 / $299.00 / $495.34	Facility		$209.29	$299.00	$495.34
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $53.50 / $59.80 / $111.14	Facility	80	$53.50	$59.80	$111.14
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $33.97 / $41.86 / $77.79	Facility	AS	$33.97	$41.86	$77.79
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $505.99 / $1,300.00	Facility		$55.00	$505.99	$1,300.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $45.96 / $101.32 / $101.32	Facility	AS	$45.96	$101.32	$101.32