Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $2,089.30 / $3,801.89	Facility		$380.19	$2,089.30	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $223.87 / $741.31	Professional		$81.28	$223.87	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $331.13	Professional		$70.79	$100.00	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $389.05 / $1,000.00	Professional		$141.25	$389.05	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $288.40 / $812.83	Professional		$109.65	$288.40	$812.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $288.40 / $660.69	Facility		$83.18	$288.40	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,890.45 / $6,760.83	Facility		$1,174.90	$3,890.45	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $354.81 / $758.58	Professional		$89.13	$354.81	$758.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $3,548.13 / $3,548.13	Facility		$56.23	$3,548.13	$3,548.13
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility	52	$2,884.03	$2,884.03	$2,884.03
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $724.44 / $724.44 / $724.44	Facility	53	$724.44	$724.44	$724.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $3,090.30	Professional		$2,630.27	$3,090.30	$3,090.30