Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,777.89 / $6,953.60	Facility		$1,615.00	$2,777.89	$6,953.60
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $891.82 / $891.82 / $1,435.60	Facility	52	$891.82	$891.82	$1,435.60
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 $1,615.65 / $1,615.65 / $1,615.65	Facility	52	$1,615.65	$1,615.65	$1,615.65
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $201.96 / $201.96 / $201.96	Facility	AS	$201.96	$201.96	$201.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,470.00 / $2,104.54 / $3,223.84	Facility		$1,470.00	$2,104.54	$3,223.84
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $294.00 / $427.20 / $663.32	Facility	80	$294.00	$427.20	$663.32
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $205.80 / $287.48 / $449.78	Facility	AS	$205.80	$287.48	$449.78
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 / $13,404.00 / $16,257.04	Facility		$55.00	$13,404.00	$16,257.04
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $3,176.04 / $6,976.69 / $6,976.69	Facility	52	$3,176.04	$6,976.69	$6,976.69
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $397.01 / $872.09 / $872.09	Facility	AS	$397.01	$872.09	$872.09