Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.70 / $13,703.62 / $13,703.62	Facility		$1,318.70	$13,703.62	$13,703.62
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $659.35 / $659.35 / $1,054.76	Facility	52	$659.35	$659.35	$1,054.76
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 $1,198.39 / $1,198.39 / $1,198.39	Facility	52	$1,198.39	$1,198.39	$1,198.39
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $149.80 / $149.80 / $149.80	Facility	AS	$149.80	$149.80	$149.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,318.70 / $1,691.90 / $2,453.67	Facility		$1,318.70	$1,691.90	$2,453.67
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $321.60 / $352.00 / $487.75	Facility	80	$321.60	$352.00	$487.75
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $212.99 / $246.40 / $341.42	Facility	AS	$212.99	$246.40	$341.42
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 / $9,977.20 / $12,089.92	Facility		$55.00	$9,977.20	$12,089.92
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $2,367.14 / $5,177.72 / $5,177.72	Facility	52	$2,367.14	$5,177.72	$5,177.72
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $295.89 / $647.22 / $647.22	Facility	AS	$295.89	$647.22	$647.22