Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.30 / $785.85 / $4,376.00	Facility		$287.30	$785.85	$4,376.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $344.50 / $383.76 / $599.05	Facility	54	$344.50	$383.76	$599.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.04 / $530.04 / $1,438.74	Facility		$530.04	$530.04	$1,438.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $459.33 / $631.99 / $1,030.73	Facility		$459.33	$631.99	$1,030.73
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 $2,186.96 / $2,429.19 / $16,394.00	Facility		$2,186.96	$2,429.19	$16,394.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $854.11 / $1,700.44 / $1,700.44	Facility	54	$854.11	$1,700.44	$1,700.44