Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $263.03 / $7,585.78	Facility		$93.33	$263.03	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $147.91 / $346.74	Professional		$69.18	$147.91	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $173.78	Professional		$69.18	$97.72	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $144.54 / $275.42	Professional		$74.13	$144.54	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $131.83 / $229.09	Professional		$77.62	$131.83	$229.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $257.04	Professional		$199.53	$199.53	$257.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $104.71 / $177.83	Facility		$61.66	$104.71	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $758.58 / $1,949.84	Facility		$173.78	$758.58	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $109.65 / $199.53	Professional		$64.57	$109.65	$199.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,288.25 / $1,288.25	Facility		$56.23	$1,288.25	$1,288.25
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $46.77 / $46.77 / $46.77	Facility	AS	$46.77	$46.77	$46.77
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $851.14	Professional		$724.44	$724.44	$851.14