Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.20 / $2,394.26 / $11,437.00	Facility		$755.20	$2,394.26	$11,437.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $566.40 / $566.40 / $925.76	Facility	54	$566.40	$566.40	$925.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $755.20 / $906.24 / $1,701.00	Facility		$755.20	$906.24	$1,701.00
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 $3,563.40 / $6,887.55 / $26,542.00	Facility		$3,563.40	$6,887.55	$26,542.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $1,267.68 / $1,424.24 / $4,569.92	Facility	54	$1,267.68	$1,424.24	$4,569.92