Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.87 / $369.97 / $6,953.60	Facility		$235.87	$369.97	$6,953.60
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $117.94 / $118.86 / $191.20	Facility	52	$117.94	$118.86	$191.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.83 / $515.00 / $606.10	Facility		$273.83	$515.00	$606.10
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $213.26 / $213.26 / $213.26	Facility	52	$213.26	$213.26	$213.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $26.66 / $26.66 / $26.66	Facility	AS	$26.66	$26.66	$26.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $235.87 / $324.39 / $461.00	Facility		$235.87	$324.39	$461.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $60.82 / $69.80 / $92.59	Facility	80	$60.82	$69.80	$92.59
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $38.07 / $48.86 / $64.54	Facility	AS	$38.07	$48.86	$64.54
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 / $749.71 / $1,300.00	Facility		$55.00	$749.71	$1,300.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $426.35 / $904.90 / $904.90	Facility	52	$426.35	$904.90	$904.90
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $53.29 / $113.11 / $113.11	Facility	AS	$53.29	$113.11	$113.11