Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.26 / $177.33 / $6,953.60	Facility		$91.26	$177.33	$6,953.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.25 / $0.57 / $0.57	Facility	50	$0.25	$0.57	$0.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $150.13 / $226.10	Professional		$85.00	$150.13	$226.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.40 / $143.40 / $143.40	Professional		$143.40	$143.40	$143.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.97 / $186.74 / $412.57	Professional		$100.97	$186.74	$412.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.59 / $179.91 / $386.63	Professional		$99.59	$179.91	$386.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.26 / $192.00 / $585.00	Facility		$91.26	$192.00	$585.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $235.50 / $299.45 / $877.50	Facility	50	$235.50	$299.45	$877.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.63 / $211.00 / $211.00	Professional		$199.63	$211.00	$211.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.11 / $189.85 / $420.59	Professional		$142.11	$189.85	$420.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $654.12	Facility		$55.00	$55.00	$654.12
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $1,495.73 / $2,902.12	Professional		$801.00	$1,495.73	$2,902.12