Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.01 / $110.01 / $148.24	Facility		$110.01	$110.01	$148.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.42 / $110.01 / $128.90	Professional		$107.42	$110.01	$128.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $110.01 / $116.61 / $148.29	Facility		$110.01	$116.61	$148.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.46 / $92.46 / $92.46	Professional		$92.46	$92.46	$92.46
United Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $129.41 / $168.25	Professional		$129.41	$129.41	$168.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $195.36 / $195.36 / $3,450.15	Facility		$195.36	$195.36	$3,450.15