Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.65 / $809.97 / $2,624.44	Facility		$119.65	$809.97	$2,624.44
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $32.85 / $59.83 / $157.16	Facility	52	$32.85	$59.83	$157.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.70 / $135.19 / $222.85	Facility		$65.70	$135.19	$222.85
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 / $522.83 / $522.83	Facility		$55.00	$522.83	$522.83
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $253.46 / $253.46 / $253.46	Facility	52	$253.46	$253.46	$253.46