Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.06 / $47.06 / $47.06	Facility		$47.06	$47.06	$47.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $47.06 / $47.06	Professional		$47.06	$47.06	$47.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.06 / $47.06 / $87.95	Facility		$47.06	$47.06	$87.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $268.66	Facility		$100.00	$100.00	$268.66