Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.91 / $4,376.00 / $6,649.00	Facility		$169.91	$4,376.00	$6,649.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $69.48 / $79.16 / $114.93	Facility	52	$69.48	$79.16	$114.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $511.52 / $562.66 / $954.83	Facility		$511.52	$562.66	$954.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.24 / $842.52 / $1,675.01	Facility		$453.24	$842.52	$1,675.01
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $125.57 / $125.57 / $125.57	Facility	52	$125.57	$125.57	$125.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.94 / $200.00 / $348.56	Facility		$138.94	$200.00	$348.56
United Facility/Professional Facility Modifier Low / Median / High Price $393.00 / $650.00 / $4,824.00	Facility		$393.00	$650.00	$4,824.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $778.68 / $4,901.45 / $16,394.00	Facility		$778.68	$4,901.45	$16,394.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $256.45 / $3,716.72 / $3,716.72	Facility	52	$256.45	$3,716.72	$3,716.72