Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $1,730.88 / $6,953.60	Facility		$1,615.00	$1,730.88	$6,953.60
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $865.44 / $865.44 / $1,391.93	Facility	52	$865.44	$865.44	$1,391.93
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 $1,570.62 / $1,570.62 / $1,570.62	Facility	52	$1,570.62	$1,570.62	$1,570.62
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $196.33 / $196.33 / $196.33	Facility	AS	$196.33	$196.33	$196.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,542.00 / $2,049.64 / $3,128.06	Facility		$1,542.00	$2,049.64	$3,128.06
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $308.39 / $419.95 / $643.83	Facility	80	$308.39	$419.95	$643.83
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $215.88 / $279.95 / $437.89	Facility	AS	$215.88	$279.95	$437.89
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 / $13,061.92 / $15,834.88	Facility		$55.00	$13,061.92	$15,834.88
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $3,106.99 / $6,776.16 / $6,776.16	Facility	52	$3,106.99	$6,776.16	$6,776.16
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $388.37 / $847.02 / $847.02	Facility	AS	$388.37	$847.02	$847.02