Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.32 / $507.36 / $5,449.00	Facility		$211.32	$507.36	$5,449.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $133.31 / $172.70 / $214.39	Facility	54	$133.31	$172.70	$214.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.28 / $221.28 / $395.75	Facility		$221.28	$221.28	$395.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.75 / $321.44 / $689.00	Facility		$177.75	$321.44	$689.00
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 $636.64 / $2,000.00 / $12,000.00	Facility		$636.64	$2,000.00	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $291.72 / $445.65 / $651.70	Facility	54	$291.72	$445.65	$651.70