Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.79 / $103.79 / $437.98	Facility		$48.79	$103.79	$437.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.79 / $65.95 / $129.60	Professional		$48.79	$65.95	$129.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.90 / $77.73 / $91.79	Professional		$61.90	$77.73	$91.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.18 / $108.10 / $183.45	Professional		$62.18	$108.10	$183.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.57 / $80.26 / $166.17	Professional		$52.57	$80.26	$166.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.79 / $75.31 / $120.06	Facility		$48.79	$75.31	$120.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $82.00 / $90.31	Professional		$82.00	$82.00	$90.31
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $135.47 / $135.47 / $135.47	Professional	50	$135.47	$135.47	$135.47
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 $58.30 / $76.58 / $181.02	Professional		$58.30	$76.58	$181.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $340.56	Facility		$55.00	$55.00	$340.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $365.52 / $902.20 / $902.20	Professional		$365.52	$902.20	$902.20