Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.05 / $901.00 / $7,278.00	Facility		$247.05	$901.00	$7,278.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $123.53 / $197.42 / $293.81	Facility	52	$123.53	$197.42	$293.81
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $49.41 / $78.97 / $117.52	Facility	53	$49.41	$78.97	$117.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.44 / $650.35 / $1,226.89	Facility		$323.44	$650.35	$1,226.89
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $221.01 / $221.01 / $221.01	Facility	52	$221.01	$221.01	$221.01
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $55.25 / $55.25 / $55.25	Facility	53	$55.25	$55.25	$55.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $234.92 / $364.53 / $420.82	Facility		$234.92	$364.53	$420.82
United Facility/Professional Facility Modifier Low / Median / High Price $393.00 / $650.00 / $4,824.00	Facility		$393.00	$650.00	$4,824.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,138.75 / $3,590.15	Facility		$55.00	$1,138.75	$3,590.15
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $453.79 / $2,722.36 / $2,722.36	Facility	52	$453.79	$2,722.36	$2,722.36
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $113.45 / $680.59 / $680.59	Facility	53	$113.45	$680.59	$680.59