Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.53 / $160.53 / $7,439.00	Facility		$103.53	$160.53	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.53 / $140.63 / $256.47	Facility		$103.53	$140.63	$256.47
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,355.00	Facility		$361.00	$896.00	$2,355.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $667.52 / $1,300.00	Facility		$55.00	$667.52	$1,300.00