Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.38 / $3,609.70 / $10,453.00	Facility		$664.38	$3,609.70	$10,453.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $498.29 / $498.29 / $813.02	Facility	54	$498.29	$498.29	$813.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $664.38 / $751.14 / $1,050.28	Facility		$664.38	$751.14	$1,050.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,131.60 / $6,887.55 / $26,542.00	Facility		$3,131.60	$6,887.55	$26,542.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $1,114.32 / $1,251.95 / $4,569.92	Facility	54	$1,114.32	$1,251.95	$4,569.92