Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.26 / $4,259.70 / $10,453.00	Facility		$756.26	$4,259.70	$10,453.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $378.13 / $378.13 / $604.60	Facility	52	$378.13	$378.13	$604.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $575.00 / $35,600.00	Facility		$0.71	$575.00	$35,600.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $688.97 / $688.97 / $688.97	Facility	52	$688.97	$688.97	$688.97
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $86.12 / $86.12 / $86.12	Facility	AS	$86.12	$86.12	$86.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $746.92 / $969.90 / $1,416.79	Facility		$746.92	$969.90	$1,416.79
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $143.90 / $208.00 / $279.61	Facility	80	$143.90	$208.00	$279.61
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $122.31 / $145.60 / $195.72	Facility	AS	$122.31	$145.60	$195.72
United Facility/Professional Facility Modifier Low / Median / High Price $902.00 / $1,557.00 / $11,999.00	Facility		$902.00	$1,557.00	$11,999.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $5,025.79 / $6,097.28	Facility		$2,000.00	$5,025.79	$6,097.28
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $1,361.30 / $2,997.29 / $2,997.29	Facility	52	$1,361.30	$2,997.29	$2,997.29
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $170.16 / $374.66 / $374.66	Facility	AS	$170.16	$374.66	$374.66