Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.19 / $188.43 / $1,245.00	Facility		$116.19	$188.43	$1,245.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.68 / $130.63 / $218.83	Professional		$106.68	$130.63	$218.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $172.38 / $183.78 / $183.78	Professional	50	$172.38	$183.78	$183.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.08 / $122.08 / $122.08	Professional		$122.08	$122.08	$122.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.88 / $182.96 / $313.18	Professional		$123.88	$182.96	$313.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.68 / $152.69 / $318.77	Professional		$110.68	$152.69	$318.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $116.19 / $146.32 / $334.00	Facility		$116.19	$146.32	$334.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $169.97 / $234.00 / $501.00	Facility	50	$169.97	$234.00	$501.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.54 / $158.00 / $158.00	Professional		$151.54	$158.00	$158.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $227.31 / $227.31 / $227.31	Professional	50	$227.31	$227.31	$227.31
United Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $833.00 / $1,928.00	Facility		$415.00	$833.00	$1,928.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.77 / $136.06 / $318.64	Professional		$104.77	$136.06	$318.64
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $838.38	Facility		$55.00	$55.00	$838.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $888.56 / $1,236.02 / $1,597.12	Professional		$888.56	$1,236.02	$1,597.12