Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.86 / $671.95 / $5,449.00	Facility		$360.86	$671.95	$5,449.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $298.16 / $329.96 / $503.96	Facility	54	$298.16	$329.96	$503.96
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 $397.55 / $527.92 / $844.20	Facility		$397.55	$527.92	$844.20
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,923.56 / $2,154.36 / $12,000.00	Facility		$1,923.56	$2,154.36	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $753.18 / $1,508.05 / $1,508.05	Facility	54	$753.18	$1,508.05	$1,508.05