Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $122.00 / $991.08	Facility		$30.00	$122.00	$991.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $101.00	Professional		$30.00	$30.00	$101.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.77 / $1,950.00 / $3,990.00	Facility		$38.77	$1,950.00	$3,990.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $65.20 / $103.00	Professional		$40.00	$65.20	$103.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $82.00 / $85.00	Facility		$82.00	$82.00	$85.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $225.28 / $480.00 / $480.00	Professional		$225.28	$480.00	$480.00