Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.90 / $5,944.79 / $9,322.56	Facility		$1,052.90	$5,944.79	$9,322.56
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $526.45 / $526.45 / $837.27	Facility	52	$526.45	$526.45	$837.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,897.73 / $3,187.50 / $5,409.10	Facility		$2,897.73	$3,187.50	$5,409.10
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 $959.49 / $959.49 / $959.49	Facility	52	$959.49	$959.49	$959.49
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $119.94 / $119.94 / $119.94	Facility	AS	$119.94	$119.94	$119.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,000.97 / $1,279.77 / $1,894.24	Facility		$1,000.97	$1,279.77	$1,894.24
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $212.80 / $261.91 / $387.18	Facility	80	$212.80	$261.91	$387.18
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $165.48 / $183.34 / $266.43	Facility	AS	$165.48	$183.34	$266.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,049.00 / $2,420.00 / $15,712.00	Facility		$1,049.00	$2,420.00	$15,712.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,413.00 / $8,558.00 / $9,691.28	Facility		$5,413.00	$8,558.00	$9,691.28
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $1,887.52 / $4,161.54 / $4,161.54	Facility	52	$1,887.52	$4,161.54	$4,161.54
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $235.94 / $520.19 / $520.19	Facility	AS	$235.94	$520.19	$520.19