Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.01 / $1,615.00 / $7,278.00	Facility		$741.01	$1,615.00	$7,278.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $555.76 / $555.76 / $887.62	Facility	54	$555.76	$555.76	$887.62
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 $741.01 / $964.57 / $1,511.47	Facility		$741.01	$964.57	$1,511.47
United Facility/Professional Facility Modifier Low / Median / High Price $713.00 / $2,376.00 / $3,517.00	Facility		$713.00	$2,376.00	$3,517.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,502.45 / $4,754.80 / $16,394.00	Facility		$3,502.45	$4,754.80	$16,394.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $1,186.24 / $1,896.69 / $3,154.80	Facility	54	$1,186.24	$1,896.69	$3,154.80