Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.60 / $242.74 / $5,485.80	Facility		$121.60	$242.74	$5,485.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.60 / $166.25 / $276.98	Professional		$121.60	$166.25	$276.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $324.68 / $675.28 / $675.28	Professional	50	$324.68	$675.28	$675.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $215.06 / $215.06 / $215.06	Professional		$215.06	$215.06	$215.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.58 / $290.06 / $514.53	Professional		$161.58	$290.06	$514.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.05 / $224.13 / $421.53	Professional		$145.05	$224.13	$421.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.60 / $174.33 / $338.97	Facility		$121.60	$174.33	$338.97
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $183.00 / $319.50 / $496.95	Facility	50	$183.00	$319.50	$496.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.00 / $194.00 / $277.63	Professional		$194.00	$194.00	$277.63
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $416.45 / $416.45 / $416.45	Professional	50	$416.45	$416.45	$416.45
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 $151.16 / $225.66 / $429.88	Professional		$151.16	$225.66	$429.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $877.26 / $877.26 / $12,000.00	Facility		$877.26	$877.26	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $930.16 / $1,466.09 / $1,466.09	Professional		$930.16	$1,466.09	$1,466.09