Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.69 / $376.69 / $376.69	Facility		$376.69	$376.69	$376.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.69 / $376.69 / $376.69	Professional		$376.69	$376.69	$376.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $376.69 / $376.69 / $399.29	Facility		$376.69	$376.69	$399.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00