Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.71 / $205.58 / $5,449.00	Facility		$41.71	$205.58	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $84.42 / $250.82	Professional		$41.71	$84.42	$250.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $225.23 / $225.23 / $225.23	Professional		$225.23	$225.23	$225.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.97 / $134.86 / $266.61	Professional		$84.97	$134.86	$266.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.08 / $131.82 / $259.29	Professional		$83.08	$131.82	$259.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.88 / $101.30 / $180.53	Facility		$45.88	$101.30	$180.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.47 / $158.47 / $158.47	Professional		$158.47	$158.47	$158.47
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.18 / $128.27 / $281.23	Professional		$100.18	$128.27	$281.23
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $295.12 / $295.12	Facility		$55.00	$295.12	$295.12
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $456.38 / $882.40 / $1,010.93	Professional		$456.38	$882.40	$1,010.93