Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,219.41 / $7,439.00 / $19,622.07	Facility		$1,219.41	$7,439.00	$19,622.07
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $609.71 / $609.71 / $976.71	Facility	52	$609.71	$609.71	$976.71
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 $1,108.61 / $1,108.61 / $1,108.61	Facility	52	$1,108.61	$1,108.61	$1,108.61
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $138.58 / $138.58 / $138.58	Facility	AS	$138.58	$138.58	$138.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,219.41 / $1,545.01 / $2,257.59	Facility		$1,219.41	$1,545.01	$2,257.59
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $285.80 / $312.60 / $451.52	Facility	80	$285.80	$312.60	$451.52
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $197.20 / $218.82 / $316.06	Facility	AS	$197.20	$218.82	$316.06
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 / $9,230.71 / $11,194.88	Facility		$55.00	$9,230.71	$11,194.88
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $2,192.36 / $4,797.46 / $4,797.46	Facility	52	$2,192.36	$4,797.46	$4,797.46
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $274.05 / $599.67 / $599.67	Facility	AS	$274.05	$599.67	$599.67