Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,488.05 / $14,515.79 / $15,503.90	Facility		$1,488.05	$14,515.79	$15,503.90
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $744.03 / $757.23 / $1,201.01	Facility	52	$744.03	$757.23	$1,201.01
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 $1,488.05 / $1,916.36 / $3,362.99	Facility		$1,488.05	$1,916.36	$3,362.99
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $368.20 / $383.27 / $702.36	Facility	80	$368.20	$383.27	$702.36
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $257.74 / $268.29 / $491.65	Facility	AS	$257.74	$268.29	$491.65
United Facility/Professional Facility Modifier Low / Median / High Price $10,829.00 / $21,292.00 / $28,898.00	Facility		$10,829.00	$21,292.00	$28,898.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,057.39 / $19,057.39	Facility		$55.00	$19,057.39	$19,057.39
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $1,702.54 / $3,069.67 / $6,016.39	Facility	52	$1,702.54	$3,069.67	$6,016.39
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $212.82 / $383.71 / $752.05	Facility	AS	$212.82	$383.71	$752.05