Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.94 / $152.82 / $5,449.00	Facility		$94.94	$152.82	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.01 / $99.76 / $164.20	Professional		$87.01	$99.76	$164.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $57.21 / $57.21 / $57.21	Professional	50	$57.21	$57.21	$57.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.23 / $95.23 / $95.23	Professional		$95.23	$95.23	$95.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.87 / $131.36 / $255.43	Professional		$99.87	$131.36	$255.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.34 / $129.93 / $290.67	Professional		$90.34	$129.93	$290.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.94 / $117.97 / $409.00	Facility		$94.94	$117.97	$409.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $139.10 / $210.24 / $613.50	Facility	50	$139.10	$210.24	$613.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $126.00 / $126.00	Professional		$123.80	$126.00	$126.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $185.70 / $185.70 / $185.70	Professional	50	$185.70	$185.70	$185.70
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.95 / $116.88 / $278.12	Professional		$84.95	$116.88	$278.12
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $685.68	Facility		$55.00	$55.00	$685.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $725.44 / $920.25 / $1,968.90	Professional		$725.44	$920.25	$1,968.90