Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,025.71 / $1,589.63 / $1,979.26	Facility		$1,025.71	$1,589.63	$1,979.26
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $512.86 / $512.86 / $821.51	Facility	52	$512.86	$512.86	$821.51
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 $931.75 / $931.75 / $931.75	Facility	52	$931.75	$931.75	$931.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $116.47 / $116.47 / $116.47	Facility	AS	$116.47	$116.47	$116.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $956.00 / $1,186.64 / $1,842.13	Facility		$956.00	$1,186.64	$1,842.13
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $192.60 / $227.20 / $380.26	Facility	80	$192.60	$227.20	$380.26
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $134.82 / $165.61 / $257.80	Facility	AS	$134.82	$165.61	$257.80
United Facility/Professional Facility Modifier Low / Median / High Price $301.00 / $661.00 / $4,877.00	Facility		$301.00	$661.00	$4,877.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,795.74 / $8,225.42	Facility		$55.00	$6,795.74	$8,225.42
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $1,840.64 / $4,021.70 / $4,021.70	Facility	52	$1,840.64	$4,021.70	$4,021.70
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $230.08 / $502.71 / $502.71	Facility	AS	$230.08	$502.71	$502.71