Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $136.94 / $1,615.00	Facility		$32.03	$136.94	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $43.64 / $79.84	Professional		$28.37	$43.64	$79.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.39 / $26.39 / $26.39	Professional		$26.39	$26.39	$26.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $87.04 / $165.29	Professional		$37.35	$87.04	$165.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $54.02 / $110.80	Professional		$34.19	$54.02	$110.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $61.07 / $98.04	Facility		$28.37	$61.07	$98.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.86 / $69.00 / $69.00	Professional		$66.86	$69.00	$69.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $100.29 / $100.29 / $100.29	Professional	50	$100.29	$100.29	$100.29
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 $34.43 / $53.93 / $90.31	Professional		$34.43	$53.93	$90.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,922.50	Facility		$55.00	$55.00	$2,922.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $214.00 / $830.02 / $830.02	Professional		$214.00	$830.02	$830.02