Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.27 / $43.27 / $99.04	Facility		$43.27	$43.27	$99.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.27 / $52.67 / $61.73	Facility		$43.27	$52.67	$61.73
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $99.29 / $99.29 / $215.65	Facility		$99.29	$99.29	$215.65