Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,659.59 / $8,709.64	Facility		$407.38	$1,659.59	$8,709.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $645.65 / $1,071.52	Facility		$426.58	$645.65	$1,071.52
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	52	$338.84	$338.84	$338.84
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $85.11 / $85.11 / $85.11	Facility	53	$85.11	$85.11	$85.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $295.12 / $489.78	Facility		$229.09	$295.12	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,778.28 / $5,888.44	Facility		$398.11	$1,778.28	$5,888.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $3,630.78 / $3,630.78	Facility		$56.23	$3,630.78	$3,630.78
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility	52	$2,884.03	$2,884.03	$2,884.03
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $724.44 / $724.44 / $724.44	Facility	53	$724.44	$724.44	$724.44