Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.84 / $10,783.29 / $19,838.98	Facility		$1,538.84	$10,783.29	$19,838.98
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $685.51 / $981.16 / $2,165.75	Facility	52	$685.51	$981.16	$2,165.75
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 $1,371.01 / $1,938.09 / $3,048.00	Facility		$1,371.01	$1,938.09	$3,048.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,619.77 / $3,280.50 / $4,647.72	Facility	50	$2,619.77	$3,280.50	$4,647.72
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $349.30 / $437.40 / $619.70	Facility	80	$349.30	$437.40	$619.70
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $244.51 / $306.18 / $433.79	Facility	AS	$244.51	$306.18	$433.79
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 / $12,829.04 / $12,829.04	Facility		$55.00	$12,829.04	$12,829.04
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $1,574.81 / $2,844.84 / $5,591.10	Facility	52	$1,574.81	$2,844.84	$5,591.10
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $196.85 / $355.61 / $698.89	Facility	AS	$196.85	$355.61	$698.89