Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,090.30 / $8,709.64	Facility		$707.95	$3,090.30	$8,709.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,818.38 / $4,897.79 / $7,943.28	Facility	50	$2,818.38	$4,897.79	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $1,819.70	Professional		$562.34	$812.83	$1,819.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $831.76 / $1,047.13 / $2,570.40	Professional	50	$831.76	$1,047.13	$2,570.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $537.03 / $1,288.25	Professional		$478.63	$537.03	$1,288.25
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $794.33 / $1,047.13 / $1,862.09	Professional	50	$794.33	$1,047.13	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $1,621.81	Professional		$562.34	$707.95	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $831.76 / $1,698.24	Professional		$537.03	$831.76	$1,698.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $794.33 / $1,348.96	Facility		$575.44	$794.33	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,244.36 / $10,471.29	Facility		$1,995.26	$7,244.36	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,412.54	Professional		$512.86	$707.95	$1,412.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $33,884.42	Facility		$5,754.40	$5,754.40	$33,884.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36