Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.65 / $1,295.51 / $6,953.60	Facility		$832.65	$1,295.51	$6,953.60
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $416.33 / $416.33 / $669.51	Facility	52	$416.33	$416.33	$669.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $518.28 / $35,600.00	Facility		$0.71	$518.28	$35,600.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $761.45 / $761.45 / $761.45	Facility	52	$761.45	$761.45	$761.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $832.65 / $1,016.02 / $1,547.51	Facility		$832.65	$1,016.02	$1,547.51
United Facility/Professional Facility Modifier Low / Median / High Price $309.00 / $1,064.00 / $4,945.00	Facility		$309.00	$1,064.00	$4,945.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,320.72 / $7,690.00	Facility		$55.00	$6,320.72	$7,690.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $1,507.70 / $3,308.82 / $3,308.82	Facility	52	$1,507.70	$3,308.82	$3,308.82