Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.84 / $6,919.00 / $15,296.00	Facility		$864.84	$6,919.00	$15,296.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $257.39 / $257.39 / $428.65	Facility	52	$257.39	$257.39	$428.65
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $102.96 / $102.96 / $171.46	Facility	53	$102.96	$102.96	$171.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,023.00 / $24,040.00 / $31,898.00	Facility		$16,023.00	$24,040.00	$31,898.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $397.90 / $614.53 / $931.89	Facility		$397.90	$614.53	$931.89
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $15,870.00 / $25,999.00	Facility		$6,688.00	$15,870.00	$25,999.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,313.88 / $4,313.88 / $31,754.00	Facility		$4,313.88	$4,313.88	$31,754.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $916.51 / $916.51 / $25,403.20	Facility	52	$916.51	$916.51	$25,403.20
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $229.13 / $229.13 / $6,350.80	Facility	53	$229.13	$229.13	$6,350.80