Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.15 / $3,760.11 / $10,924.00	Facility		$737.15	$3,760.11	$10,924.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $552.86 / $552.86 / $898.44	Facility	54	$552.86	$552.86	$898.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $737.15 / $861.00 / $1,465.00	Facility		$737.15	$861.00	$1,465.00
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 $3,479.20 / $6,887.55 / $26,542.00	Facility		$3,479.20	$6,887.55	$26,542.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $1,237.44 / $1,390.27 / $4,569.92	Facility	54	$1,237.44	$1,390.27	$4,569.92