Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $5,495.41 / $13,803.84	Facility		$194.98	$5,495.41	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $562.34	Professional		$151.36	$204.17	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $371.54	Professional		$229.09	$269.15	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $398.11	Professional		$169.82	$245.47	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,000.00	Professional		$977.24	$977.24	$1,000.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $218.78 / $380.19	Facility		$154.88	$218.78	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $758.58 / $1,949.84	Facility		$173.78	$758.58	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $575.44	Professional		$141.25	$218.78	$575.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $1,819.70	Professional		$1,513.56	$1,819.70	$1,819.70