Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.62 / $1,955.70 / $7,244.50	Facility		$110.62	$1,955.70	$7,244.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $121.51 / $322.11	Professional		$72.73	$121.51	$322.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.67 / $105.97 / $270.18	Professional		$77.67	$105.97	$270.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.67 / $161.52 / $328.39	Professional		$99.67	$161.52	$328.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.93 / $160.83 / $288.81	Professional		$97.93	$160.83	$288.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $132.74 / $213.65	Facility		$72.73	$132.74	$213.65
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $14.76 / $21.84 / $30.46	Facility	AS	$14.76	$21.84	$30.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $187.10 / $187.10 / $187.10	Professional		$187.10	$187.10	$187.10
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 $104.29 / $150.75 / $285.23	Professional		$104.29	$150.75	$285.23
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $350.84 / $350.84	Facility		$55.00	$350.84	$350.84
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $35.08 / $35.08 / $35.08	Facility	AS	$35.08	$35.08	$35.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $521.12 / $828.89 / $930.83	Professional		$521.12	$828.89	$930.83