Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,150.98 / $1,923.66 / $7,968.00	Facility		$1,150.98	$1,923.66	$7,968.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $600.45 / $600.45 / $961.83	Facility	52	$600.45	$600.45	$961.83
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $240.18 / $240.18 / $384.73	Facility	53	$240.18	$240.18	$384.73
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 $1,091.32 / $1,091.32 / $1,091.32	Facility	52	$1,091.32	$1,091.32	$1,091.32
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $272.83 / $272.83 / $272.83	Facility	53	$272.83	$272.83	$272.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $136.41 / $136.41 / $136.41	Facility	AS	$136.41	$136.41	$136.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,200.89 / $1,501.08 / $2,222.66	Facility		$1,200.89	$1,501.08	$2,222.66
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $260.00 / $300.22 / $444.53	Facility	80	$260.00	$300.22	$444.53
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $193.90 / $210.15 / $303.08	Facility	AS	$193.90	$210.15	$303.08
United Facility/Professional Facility Modifier Low / Median / High Price $301.00 / $661.00 / $4,877.00	Facility		$301.00	$661.00	$4,877.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,099.44 / $11,004.64	Facility		$55.00	$9,099.44	$11,004.64
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $2,157.09 / $4,701.51 / $4,701.51	Facility	52	$2,157.09	$4,701.51	$4,701.51
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $539.27 / $1,175.38 / $1,175.38	Facility	53	$539.27	$1,175.38	$1,175.38
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $269.64 / $587.69 / $587.69	Facility	AS	$269.64	$587.69	$587.69