Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.62 / $9,503.00 / $29,869.98	Facility		$643.62	$9,503.00	$29,869.98
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $321.81 / $321.81 / $535.69	Facility	52	$321.81	$321.81	$535.69
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $128.72 / $128.72 / $214.27	Facility	53	$128.72	$128.72	$214.27
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 $547.08 / $764.54 / $1,237.74	Facility		$547.08	$764.54	$1,237.74
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 $5,385.96 / $5,385.96 / $31,754.00	Facility		$5,385.96	$5,385.96	$31,754.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $1,144.57 / $1,144.57 / $25,403.20	Facility	52	$1,144.57	$1,144.57	$25,403.20
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $286.14 / $286.14 / $6,350.80	Facility	53	$286.14	$286.14	$6,350.80