Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.94 / $473.02 / $4,311.00	Facility		$352.94	$473.02	$4,311.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $201.70 / $201.70 / $309.82	Facility	52	$201.70	$201.70	$309.82
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $302.54 / $302.54 / $464.74	Facility	54	$302.54	$302.54	$464.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.89 / $115.89 / $117.58	Facility		$115.89	$115.89	$117.58
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 $403.39 / $542.11 / $819.17	Facility		$403.39	$542.11	$819.17
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 $860.00 / $2,179.16 / $12,000.00	Facility		$860.00	$2,179.16	$12,000.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $480.35 / $874.77 / $1,743.33	Facility	52	$480.35	$874.77	$1,743.33
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $420.31 / $765.42 / $1,525.41	Facility	54	$420.31	$765.42	$1,525.41