Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $973.83 / $6,622.87	Facility		$118.50	$973.83	$6,622.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.55 / $137.75 / $264.85	Professional		$85.55	$137.75	$264.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.17 / $98.17 / $98.17	Professional		$98.17	$98.17	$98.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.91 / $182.28 / $341.03	Professional		$110.91	$182.28	$341.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.10 / $176.87 / $318.37	Professional		$110.10	$176.87	$318.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.80 / $165.73 / $212.23	Facility		$91.80	$165.73	$212.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $203.92 / $203.92 / $203.92	Professional		$203.92	$203.92	$203.92
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $305.88 / $305.88 / $305.88	Professional	50	$305.88	$305.88	$305.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.74 / $158.83 / $365.38	Professional		$128.74	$158.83	$365.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $639.72 / $639.72	Facility		$55.00	$639.72	$639.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,306.22 / $3,306.22 / $3,737.30	Professional		$3,306.22	$3,306.22	$3,737.30