Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,040.86 / $1,849.00 / $12,615.00	Facility		$1,040.86	$1,849.00	$12,615.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $903.34 / $1,040.86 / $1,654.85	Facility		$903.34	$1,040.86	$1,654.85
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $126.47 / $132.38 / $209.17	Facility	AS	$126.47	$132.38	$209.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,841.36 / $1,947.83 / $5,749.75	Facility		$1,841.36	$1,947.83	$5,749.75
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $149.59 / $194.78 / $532.48	Facility	AS	$149.59	$194.78	$532.48