Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.45 / $675.89 / $5,615.95	Facility		$105.45	$675.89	$5,615.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.46 / $189.37 / $473.70	Professional		$101.46	$189.37	$473.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.78 / $99.78 / $379.65	Professional		$99.78	$99.78	$379.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $253.56 / $500.11	Professional		$129.00	$253.56	$500.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.09 / $240.43 / $425.85	Professional		$135.09	$240.43	$425.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $101.46 / $183.74 / $321.94	Facility		$101.46	$183.74	$321.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $288.27 / $288.27	Professional		$288.27	$288.27	$288.27
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 $129.38 / $215.83 / $381.95	Professional		$129.38	$215.83	$381.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $497.75 / $497.75	Facility		$55.00	$497.75	$497.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $739.76 / $1,195.80 / $1,346.74	Professional		$739.76	$1,195.80	$1,346.74