Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.11 / $254.75 / $5,449.00	Facility		$66.11	$254.75	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.11 / $180.17 / $301.77	Professional		$66.11	$180.17	$301.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.90 / $239.90 / $239.90	Professional		$239.90	$239.90	$239.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.83 / $262.18 / $502.68	Professional		$89.83	$262.18	$502.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $180.37 / $367.17	Professional		$79.73	$180.37	$367.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.11 / $180.76 / $341.00	Facility		$66.11	$180.76	$341.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $256.45	Professional		$212.00	$212.00	$256.45
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $384.68 / $384.68 / $384.68	Professional	50	$384.68	$384.68	$384.68
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 $161.21 / $214.70 / $494.40	Professional		$161.21	$214.70	$494.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $466.08	Facility		$55.00	$55.00	$466.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $676.19 / $1,515.68 / $1,523.16	Professional		$676.19	$1,515.68	$1,523.16