Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,860.68 / $8,369.00 / $15,786.12	Facility		$1,860.68	$8,369.00	$15,786.12
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $930.34 / $955.35 / $1,505.36	Facility	52	$930.34	$955.35	$1,505.36
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 $1,860.68 / $2,700.12 / $4,475.60	Facility		$1,860.68	$2,700.12	$4,475.60
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $482.36 / $622.20 / $931.98	Facility	80	$482.36	$622.20	$931.98
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $337.65 / $435.54 / $652.39	Facility	AS	$337.65	$435.54	$652.39
United Facility/Professional Facility Modifier Low / Median / High Price $8,153.00 / $21,463.00 / $29,047.00	Facility		$8,153.00	$21,463.00	$29,047.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $23,770.78 / $23,770.78	Facility		$55.00	$23,770.78	$23,770.78
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $2,124.58 / $3,825.93 / $7,485.02	Facility	52	$2,124.58	$3,825.93	$7,485.02
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $265.57 / $478.24 / $935.63	Facility	AS	$265.57	$478.24	$935.63