Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.60 / $210.20 / $7,968.00	Facility		$90.60	$210.20	$7,968.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.06 / $106.73 / $289.38	Professional		$62.06	$106.73	$289.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.94 / $70.94 / $137.66	Professional		$70.94	$70.94	$137.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.01 / $138.82 / $284.57	Professional		$82.01	$138.82	$284.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.11 / $136.47 / $254.70	Professional		$83.11	$136.47	$254.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.06 / $118.42 / $184.66	Facility		$62.06	$118.42	$184.66
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $13.19 / $19.98 / $25.85	Facility	AS	$13.19	$19.98	$25.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.03 / $165.03 / $165.03	Professional		$165.03	$165.03	$165.03
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 $91.80 / $134.72 / $254.74	Professional		$91.80	$134.72	$254.74
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $303.86 / $303.86	Facility		$55.00	$303.86	$303.86
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $30.39 / $30.39 / $30.39	Facility	AS	$30.39	$30.39	$30.39
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $450.16 / $726.48 / $854.10	Professional		$450.16	$726.48	$854.10