Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.32 / $1,615.00 / $3,743.16	Facility		$402.32	$1,615.00	$3,743.16
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $301.74 / $301.74 / $466.24	Facility	54	$301.74	$301.74	$466.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $1,438.74	Facility		$395.75	$395.75	$1,438.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $402.32 / $496.33 / $751.32	Facility		$402.32	$496.33	$751.32
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,733.00 / $6,543.00	Facility		$900.00	$3,733.00	$6,543.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,944.95 / $4,754.80 / $12,000.00	Facility		$1,944.95	$4,754.80	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $667.32 / $1,896.69 / $3,154.80	Facility	54	$667.32	$1,896.69	$3,154.80