Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $1,618.43 / $6,953.60	Facility		$1,615.00	$1,618.43	$6,953.60
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $809.22 / $809.22 / $1,307.15	Facility	52	$809.22	$809.22	$1,307.15
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 $1,468.02 / $1,468.02 / $1,468.02	Facility	52	$1,468.02	$1,468.02	$1,468.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $183.50 / $183.50 / $183.50	Facility	AS	$183.50	$183.50	$183.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,587.20 / $2,009.00 / $3,020.59	Facility		$1,587.20	$2,009.00	$3,020.59
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $395.00 / $410.39 / $604.12	Facility	80	$395.00	$410.39	$604.12
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $215.73 / $281.02 / $403.83	Facility	AS	$215.73	$281.02	$403.83
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 / $12,192.32 / $14,827.68	Facility		$55.00	$12,192.32	$14,827.68
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $2,924.66 / $6,344.41 / $6,344.41	Facility	52	$2,924.66	$6,344.41	$6,344.41
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $365.58 / $793.05 / $793.05	Facility	AS	$365.58	$793.05	$793.05