Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.05 / $109.82 / $1,615.00	Facility		$61.05	$109.82	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $72.16 / $106.56	Professional		$61.05	$72.16	$106.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.47 / $76.47 / $76.47	Professional		$76.47	$76.47	$76.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.87 / $124.18 / $189.49	Professional		$70.87	$124.18	$189.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.82 / $88.19 / $197.34	Professional		$60.82	$88.19	$197.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.05 / $81.00 / $153.66	Facility		$61.05	$81.00	$153.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $97.00 / $105.52	Professional		$97.00	$97.00	$105.52
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 $64.23 / $79.03 / $176.64	Professional		$64.23	$79.03	$176.64
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $441.96	Facility		$55.00	$55.00	$441.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $472.96 / $561.28 / $633.60	Professional		$472.96	$561.28	$633.60