Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $28.84	Professional		$16.98	$23.99	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $89.13	Professional		$33.11	$50.12	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $67.61	Professional		$30.90	$41.69	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $34.67 / $128.82	Professional		$33.11	$34.67	$128.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $25.12 / $40.74	Facility		$21.38	$25.12	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,890.45 / $6,918.31	Facility		$977.24	$3,890.45	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $27.54 / $45.71	Professional		$20.89	$27.54	$45.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $199.53 / $199.53	Professional		$173.78	$199.53	$199.53