Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $501.19 / $6,760.83	Facility		$123.03	$501.19	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $131.83 / $302.00	Professional		$72.44	$131.83	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $117.49 / $151.36	Professional		$33.11	$117.49	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $316.23	Professional		$95.50	$144.54	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $288.40	Professional		$93.33	$154.88	$288.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $128.82 / $204.17	Facility		$81.28	$128.82	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,890.45 / $6,760.83	Facility		$1,380.38	$3,890.45	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $134.90 / $239.88	Professional		$79.43	$134.90	$239.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $5,623.41 / $5,623.41	Facility		$56.23	$5,623.41	$5,623.41
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95