Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,431.43 / $2,236.75 / $13,764.00	Facility		$1,431.43	$2,236.75	$13,764.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $715.72 / $727.37 / $1,155.95	Facility	52	$715.72	$727.37	$1,155.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,521.74 / $6,521.74 / $9,318.76	Facility		$6,521.74	$6,521.74	$9,318.76
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 $1,431.43 / $2,054.28 / $3,018.19	Facility		$1,431.43	$2,054.28	$3,018.19
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $368.35 / $471.00 / $647.01	Facility	80	$368.35	$471.00	$647.01
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $257.85 / $329.70 / $452.90	Facility	AS	$257.85	$329.70	$452.90
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 / $18,350.86 / $18,350.86	Facility		$55.00	$18,350.86	$18,350.86
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $1,639.26 / $2,956.24 / $5,796.52	Facility	52	$1,639.26	$2,956.24	$5,796.52
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $204.91 / $369.53 / $724.57	Facility	AS	$204.91	$369.53	$724.57