Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.16 / $887.53 / $7,278.00	Facility		$423.16	$887.53	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.23 / $546.72 / $758.56	Professional		$400.23	$546.72	$758.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $542.04 / $542.04 / $542.04	Professional		$542.04	$542.04	$542.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.26 / $639.05 / $1,362.17	Professional		$460.26	$639.05	$1,362.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.67 / $652.16 / $1,323.08	Professional		$431.67	$652.16	$1,323.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $423.16 / $631.13 / $1,003.00	Facility		$423.16	$631.13	$1,003.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $702.95 / $732.00 / $732.00	Professional		$702.95	$732.00	$732.00
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 $477.45 / $641.16 / $1,737.29	Professional		$477.45	$641.16	$1,737.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,979.00 / $2,979.00 / $16,394.00	Facility		$2,979.00	$2,979.00	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,168.08 / $4,952.25 / $5,083.46	Professional		$3,168.08	$4,952.25	$5,083.46