Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.34 / $772.46 / $1,947.50	Facility		$126.34	$772.46	$1,947.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $558.00 / $985.60 / $985.60	Facility	50	$558.00	$985.60	$985.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $96.64 / $260.27	Professional		$48.58	$96.64	$260.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $47.76 / $65.34	Professional		$47.76	$47.76	$65.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.18 / $88.32 / $177.90	Professional		$52.18	$88.32	$177.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.14 / $100.55 / $238.87	Professional		$61.14	$100.55	$238.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.59 / $93.74 / $175.96	Facility		$58.59	$93.74	$175.96
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $132.00 / $132.87 / $373.80	Facility	50	$132.00	$132.87	$373.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.58 / $88.58 / $600.00	Professional		$88.58	$88.58	$600.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $132.87 / $132.87 / $132.87	Professional	50	$132.87	$132.87	$132.87
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 $66.29 / $115.23 / $285.95	Professional		$66.29	$115.23	$285.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $300.25 / $300.25 / $16,394.00	Facility		$300.25	$300.25	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $629.00 / $929.04 / $1,085.40	Professional		$629.00	$929.04	$1,085.40