Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.96 / $840.89 / $6,953.60	Facility		$487.96	$840.89	$6,953.60
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $365.97 / $365.97 / $575.36	Facility	54	$365.97	$365.97	$575.36
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 $395.75 / $395.75 / $1,438.74	Facility		$395.75	$395.75	$1,438.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $487.96 / $590.70 / $964.78	Facility		$487.96	$590.70	$964.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,064.00 / $3,733.00 / $5,919.00	Facility		$1,064.00	$3,733.00	$5,919.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,869.04 / $4,754.80 / $12,000.00	Facility		$1,869.04	$4,754.80	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $799.67 / $1,896.69 / $3,154.80	Facility	54	$799.67	$1,896.69	$3,154.80