Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $104.71 / $5,495.41	Facility		$57.54	$104.71	$5,495.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $89.13 / $162.18	Facility		$57.54	$89.13	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $758.58 / $1,949.84	Facility		$302.00	$758.58	$1,949.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,288.25 / $1,288.25	Facility		$56.23	$1,288.25	$1,288.25