Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.94 / $391.36 / $5,449.00	Facility		$139.94	$391.36	$5,449.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.94 / $216.88 / $347.74	Facility		$139.94	$216.88	$347.74
United Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $833.00 / $1,928.00	Facility		$415.00	$833.00	$1,928.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $701.67 / $701.67	Facility		$55.00	$701.67	$701.67