Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $8,709.64	Facility		$1,023.29	$1,659.59	$8,709.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $575.44 / $35,481.34	Facility		$489.78	$575.44	$35,481.34
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility	52	$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $177.83 / $177.83 / $177.83	Facility	AS	$177.83	$177.83	$177.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,230.27 / $1,949.84	Facility		$870.96	$1,230.27	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,819.70 / $6,309.57	Facility		$309.03	$1,819.70	$6,309.57
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $8,317.64 / $8,317.64	Facility		$56.23	$8,317.64	$8,317.64
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility	52	$6,606.93	$6,606.93	$6,606.93
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $831.76 / $831.76 / $831.76	Facility	AS	$831.76	$831.76	$831.76