Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,554.50 / $7,439.00	Facility		$1,615.00	$2,554.50	$7,439.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $908.96 / $908.96 / $1,470.63	Facility	52	$908.96	$908.96	$1,470.63
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 $1,648.76 / $1,648.76 / $1,648.76	Facility	52	$1,648.76	$1,648.76	$1,648.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $206.10 / $206.10 / $206.10	Facility	AS	$206.10	$206.10	$206.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,817.92 / $2,216.00 / $3,401.44	Facility		$1,817.92	$2,216.00	$3,401.44
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $379.20 / $455.16 / $680.40	Facility	80	$379.20	$455.16	$680.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $270.89 / $311.92 / $462.53	Facility	AS	$270.89	$311.92	$462.53
United Facility/Professional Facility Modifier Low / Median / High Price $309.00 / $1,172.00 / $4,945.00	Facility		$309.00	$1,172.00	$4,945.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,702.72 / $16,659.20	Facility		$55.00	$13,702.72	$16,659.20
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $3,263.14 / $7,170.18 / $7,170.18	Facility	52	$3,263.14	$7,170.18	$7,170.18
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $407.89 / $896.27 / $896.27	Facility	AS	$407.89	$896.27	$896.27