Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,969.68 / $13,877.48 / $24,426.03	Facility		$1,969.68	$13,877.48	$24,426.03
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $855.86 / $1,234.67 / $1,379.61	Facility	52	$855.86	$1,234.67	$1,379.61
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 $1,711.72 / $2,480.00 / $4,038.44	Facility		$1,711.72	$2,480.00	$4,038.44
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $439.59 / $560.00 / $859.34	Facility	80	$439.59	$560.00	$859.34
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $307.70 / $392.00 / $601.54	Facility	AS	$307.70	$392.00	$601.54
United Facility/Professional Facility Modifier Low / Median / High Price $8,917.00 / $20,562.00 / $28,286.00	Facility		$8,917.00	$20,562.00	$28,286.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $15,953.60 / $15,953.60	Facility		$55.00	$15,953.60	$15,953.60
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $1,959.50 / $3,534.21 / $6,929.94	Facility	52	$1,959.50	$3,534.21	$6,929.94
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $244.94 / $441.78 / $866.24	Facility	AS	$244.94	$441.78	$866.24