Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.47 / $620.94 / $1,843.41	Facility		$323.47	$620.94	$1,843.41
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $282.25 / $282.25 / $428.51	Facility	54	$282.25	$282.25	$428.51
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 $376.33 / $470.05 / $753.34	Facility		$376.33	$470.05	$753.34
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 $783.44 / $2,031.43 / $12,000.00	Facility		$783.44	$2,031.43	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $390.79 / $713.11 / $1,422.00	Facility	54	$390.79	$713.11	$1,422.00