Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.74 / $3,671.90 / $4,922.05	Facility		$500.74	$3,671.90	$4,922.05
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $157.47 / $177.57 / $260.82	Facility	52	$157.47	$177.57	$260.82
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $62.99 / $71.03 / $104.33	Facility	53	$62.99	$71.03	$104.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,494.80 / $1,644.27 / $2,790.28	Facility		$1,494.80	$1,644.27	$2,790.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.24 / $1,828.86 / $3,635.94	Facility		$453.24	$1,828.86	$3,635.94
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $283.33 / $283.33 / $283.33	Facility	52	$283.33	$283.33	$283.33
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $70.84 / $70.84 / $70.84	Facility	53	$70.84	$70.84	$70.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $314.95 / $451.60 / $722.00	Facility		$314.95	$451.60	$722.00
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $1,208.00 / $9,324.00	Facility		$773.00	$1,208.00	$9,324.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,040.99 / $10,639.60 / $16,394.00	Facility		$2,040.99	$10,639.60	$16,394.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $580.50 / $8,067.84 / $8,067.84	Facility	52	$580.50	$8,067.84	$8,067.84
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $145.13 / $2,016.96 / $2,016.96	Facility	53	$145.13	$2,016.96	$2,016.96