Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.04 / $5,320.97 / $15,520.54	Facility		$900.04	$5,320.97	$15,520.54
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $753.59 / $753.59 / $1,212.92	Facility	52	$753.59	$753.59	$1,212.92
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 $1,366.02 / $1,366.02 / $1,366.02	Facility	52	$1,366.02	$1,366.02	$1,366.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $170.75 / $170.75 / $170.75	Facility	AS	$170.75	$170.75	$170.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,477.72 / $1,902.00 / $2,792.05	Facility		$1,477.72	$1,902.00	$2,792.05
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $372.09 / $416.20 / $560.60	Facility	80	$372.09	$416.20	$560.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $243.78 / $291.33 / $383.65	Facility	AS	$243.78	$291.33	$383.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,461.00 / $2,050.00 / $15,712.00	Facility		$1,461.00	$2,050.00	$15,712.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $10,160.00 / $11,355.04 / $13,801.52	Facility		$10,160.00	$11,355.04	$13,801.52
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $2,718.14 / $5,907.44 / $5,907.44	Facility	52	$2,718.14	$5,907.44	$5,907.44
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $339.77 / $738.43 / $738.43	Facility	AS	$339.77	$738.43	$738.43