Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.98 / $842.56 / $8,413.00	Facility		$449.98	$842.56	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.78 / $539.29 / $728.89	Professional		$438.78	$539.29	$728.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $538.79 / $538.79 / $538.79	Professional		$538.79	$538.79	$538.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $493.68 / $785.16 / $1,288.75	Professional		$493.68	$785.16	$1,288.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.05 / $641.58 / $1,389.23	Professional		$439.05	$641.58	$1,389.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $449.98 / $652.21 / $902.00	Facility		$449.98	$652.21	$902.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $706.50 / $999.00 / $1,546.26	Facility	50	$706.50	$999.00	$1,546.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $661.44 / $695.00 / $695.00	Professional		$661.44	$695.00	$695.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $448.66 / $564.41 / $1,308.07	Professional		$448.66	$564.41	$1,308.07
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,218.40 / $3,218.40 / $26,542.00	Facility		$3,218.40	$3,218.40	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,417.12 / $4,643.39 / $4,717.88	Professional		$3,417.12	$4,643.39	$4,717.88