Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.27 / $1,064.96 / $7,362.00	Facility		$666.27	$1,064.96	$7,362.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $499.70 / $501.29 / $798.72	Facility	54	$499.70	$501.29	$798.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $1,438.74	Facility		$395.75	$395.75	$1,438.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $666.27 / $851.72 / $1,399.06	Facility		$666.27	$851.72	$1,399.06
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 $3,205.00 / $4,754.80 / $12,000.00	Facility		$3,205.00	$4,754.80	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $1,086.08 / $1,896.69 / $3,154.80	Facility	54	$1,086.08	$1,896.69	$3,154.80