Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.43 / $713.94 / $2,603.08	Facility		$36.43	$713.94	$2,603.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $39.75 / $115.06	Professional		$22.47	$39.75	$115.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $20.97 / $20.97	Professional		$19.57	$20.97	$20.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.29 / $33.84 / $73.28	Professional		$21.29	$33.84	$73.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $40.00 / $83.10	Professional		$23.19	$40.00	$83.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.63 / $41.20 / $53.76	Facility		$25.63	$41.20	$53.76
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $56.04 / $61.80 / $103.59	Facility	50	$56.04	$61.80	$103.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $41.20 / $41.20	Professional		$41.20	$41.20	$41.20
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $61.80 / $61.80 / $61.80	Professional	50	$61.80	$61.80	$61.80
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 $30.31 / $40.15 / $91.49	Professional		$30.31	$40.15	$91.49
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $118.66 / $118.66	Facility		$55.00	$118.66	$118.66
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $178.72 / $205.43 / $332.70	Professional		$178.72	$205.43	$332.70