Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $61.66 / $154.88	Professional		$51.29	$61.66	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $97.72	Professional		$95.50	$95.50	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $165.96	Professional		$87.10	$128.82	$165.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $66.07 / $131.83	Facility		$51.29	$66.07	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,890.45 / $6,918.31	Facility		$1,023.29	$3,890.45	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.62 / $147.91	Professional		$54.95	$77.62	$147.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $660.69 / $660.69	Professional		$602.56	$660.69	$660.69