Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.38 / $42.38 / $57.10	Facility		$42.38	$42.38	$57.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $42.38 / $49.86	Professional		$41.38	$42.38	$49.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.38 / $44.92 / $54.85	Facility		$42.38	$44.92	$54.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,109.69 / $1,500.81 / $1,500.81	Facility		$1,109.69	$1,500.81	$1,500.81
United Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $65.53	Professional		$42.28	$42.28	$65.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,806.98 / $1,806.98 / $5,158.68	Facility		$1,806.98	$1,806.98	$5,158.68