Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.25 / $525.84 / $4,978.00	Facility		$133.25	$525.84	$4,978.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $46.10 / $72.37 / $99.93	Facility	52	$46.10	$72.37	$99.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.67 / $125.91 / $271.97	Professional		$86.67	$125.91	$271.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $219.68 / $219.68 / $219.68	Professional		$219.68	$219.68	$219.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.23 / $141.19 / $277.87	Professional		$94.23	$141.19	$277.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.46 / $138.44 / $275.05	Professional		$103.46	$138.44	$275.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.65 / $125.91 / $187.37	Facility		$90.65	$125.91	$187.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.68 / $151.68 / $151.68	Professional		$151.68	$151.68	$151.68
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.03 / $126.50 / $297.70	Professional		$103.03	$126.50	$297.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $495.95 / $495.95	Facility		$55.00	$495.95	$495.95
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $396.76 / $396.76 / $396.76	Facility	52	$396.76	$396.76	$396.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $706.16 / $940.00 / $1,094.40	Professional		$706.16	$940.00	$1,094.40