Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.93 / $810.56 / $4,311.00	Facility		$183.93	$810.56	$4,311.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $33.52 / $88.95 / $228.57	Facility	53	$33.52	$88.95	$228.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.44 / $530.00 / $948.75	Facility		$323.44	$530.00	$948.75
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.70 / $52.70 / $52.70	Facility	53	$52.70	$52.70	$52.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $152.35 / $372.11 / $546.40	Facility		$152.35	$372.11	$546.40
United Facility/Professional Facility Modifier Low / Median / High Price $393.00 / $650.00 / $4,824.00	Facility		$393.00	$650.00	$4,824.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $878.90 / $878.90 / $12,000.00	Facility		$878.90	$878.90	$12,000.00
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $151.40 / $151.40 / $151.40	Facility	53	$151.40	$151.40	$151.40