Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.39 / $4,148.00 / $7,108.87	Facility		$201.39	$4,148.00	$7,108.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.24 / $1,436.38 / $2,709.73	Facility		$453.24	$1,436.38	$2,709.73
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $94.25 / $94.25 / $94.25	Facility	52	$94.25	$94.25	$94.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.00 / $134.54 / $187.08	Facility		$102.00	$134.54	$187.08
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 $590.88 / $7,929.30 / $16,394.00	Facility		$590.88	$7,929.30	$16,394.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $190.52 / $6,012.68 / $6,012.68	Facility	52	$190.52	$6,012.68	$6,012.68