Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.11 / $1,181.00 / $7,278.00	Facility		$574.11	$1,181.00	$7,278.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $287.06 / $287.06 / $452.35	Facility	52	$287.06	$287.06	$452.35
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $430.58 / $430.58 / $678.53	Facility	54	$430.58	$430.58	$678.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,192.79 / $1,192.79 / $1,210.19	Facility		$1,192.79	$1,192.79	$1,210.19
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 $574.11 / $760.77 / $1,154.99	Facility		$574.11	$760.77	$1,154.99
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,733.00 / $6,543.00	Facility		$900.00	$3,733.00	$6,543.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,743.45 / $4,754.80 / $16,394.00	Facility		$2,743.45	$4,754.80	$16,394.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $1,068.68 / $2,167.65 / $3,605.48	Facility	52	$1,068.68	$2,167.65	$3,605.48
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $935.09 / $1,896.69 / $3,154.80	Facility	54	$935.09	$1,896.69	$3,154.80