Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,576.05 / $6,463.77 / $16,583.50	Facility		$1,576.05	$6,463.77	$16,583.50
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $788.03 / $1,105.38 / $1,275.15	Facility	52	$788.03	$1,105.38	$1,275.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $606.10	Facility		$606.10	$606.10	$606.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,576.05 / $2,164.37 / $2,952.54	Facility		$1,576.05	$2,164.37	$2,952.54
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $295.11 / $303.01 / $520.73	Facility	AS	$295.11	$303.01	$520.73
United Facility/Professional Facility Modifier Low / Median / High Price $3,183.00 / $12,731.00 / $19,066.00	Facility		$3,183.00	$12,731.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $16,451.27 / $45,000.00 / $50,078.50	Facility		$16,451.27	$45,000.00	$50,078.50
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $2,893.97 / $21,521.75 / $38,006.16	Facility	52	$2,893.97	$21,521.75	$38,006.16
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $361.75 / $2,690.22 / $4,750.77	Facility	AS	$361.75	$2,690.22	$4,750.77