Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.71 / $75.73 / $1,615.00	Facility		$18.71	$75.73	$1,615.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $316.06 / $316.06 / $316.06	Facility	50	$316.06	$316.06	$316.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $31.74 / $63.49	Professional		$18.71	$31.74	$63.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $27.79 / $28.61 / $84.79	Professional	50	$27.79	$28.61	$84.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $40.42 / $40.42	Professional		$40.42	$40.42	$40.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $65.39 / $118.82	Professional		$23.43	$65.39	$118.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $51.83 / $103.18	Professional		$26.20	$51.83	$103.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.71 / $46.54 / $140.00	Facility		$18.71	$46.54	$140.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $30.99 / $92.60 / $210.00	Facility	50	$30.99	$92.60	$210.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.73 / $62.00 / $62.00	Professional		$61.73	$62.00	$62.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $92.60 / $92.60 / $92.60	Professional	50	$92.60	$92.60	$92.60
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 $24.36 / $47.91 / $75.67	Professional		$24.36	$47.91	$75.67
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $392.47 / $663.90	Professional		$300.00	$392.47	$663.90