Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.07 / $150.07 / $202.23	Facility		$150.07	$150.07	$202.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.54 / $150.07 / $175.85	Professional		$146.54	$150.07	$175.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $150.07 / $159.07 / $194.21	Facility		$150.07	$159.07	$194.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $167.72 / $167.72 / $167.72	Professional		$167.72	$167.72	$167.72
United Facility/Professional Professional Modifier Low / Median / High Price $136.80 / $136.80 / $177.84	Professional		$136.80	$136.80	$177.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $169.49 / $169.49 / $169.49	Facility		$169.49	$169.49	$169.49