Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $281.84 / $6,918.31	Facility		$54.95	$281.84	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $245.47 / $512.86	Facility		$144.54	$245.47	$512.86
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $24.55 / $24.55 / $24.55	Facility	53	$24.55	$24.55	$24.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $128.82 / $269.15	Facility		$54.95	$128.82	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,000.00 / $3,311.31	Facility		$251.19	$1,000.00	$3,311.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $169.82 / $169.82 / $169.82	Facility	53	$169.82	$169.82	$169.82