Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,533.52 / $20,481.00	Facility		$1,615.00	$2,533.52	$20,481.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $813.26 / $813.26 / $1,309.31	Facility	52	$813.26	$813.26	$1,309.31
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 $1,471.60 / $1,471.60 / $1,471.60	Facility	52	$1,471.60	$1,471.60	$1,471.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $183.95 / $183.95 / $183.95	Facility	AS	$183.95	$183.95	$183.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,626.52 / $1,951.82 / $3,023.64	Facility		$1,626.52	$1,951.82	$3,023.64
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $350.40 / $408.31 / $605.28	Facility	80	$350.40	$408.31	$605.28
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $245.28 / $262.50 / $413.15	Facility	AS	$245.28	$262.50	$413.15
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 / $12,231.28 / $14,819.60	Facility		$55.00	$12,231.28	$14,819.60
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $2,903.22 / $6,344.10 / $6,344.10	Facility	52	$2,903.22	$6,344.10	$6,344.10
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $362.90 / $793.01 / $793.01	Facility	AS	$362.90	$793.01	$793.01