Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.73 / $173.76 / $5,449.00	Facility		$99.73	$173.76	$5,449.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.73 / $132.78 / $173.90	Facility		$99.73	$132.78	$173.90
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 $483.03 / $483.03 / $12,000.00	Facility		$483.03	$483.03	$12,000.00