Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.45 / $2,851.84 / $4,922.05	Facility		$268.45	$2,851.84	$4,922.05
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $875.59 / $875.59 / $4,585.85	Facility	50	$875.59	$875.59	$4,585.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.44 / $355.39 / $574.91	Professional		$206.44	$355.39	$574.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $386.70 / $386.70 / $1,217.45	Professional	50	$386.70	$386.70	$1,217.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $301.41 / $301.41 / $301.41	Professional		$301.41	$301.41	$301.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.69 / $404.69 / $1,008.13	Professional		$245.69	$404.69	$1,008.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.15 / $424.01 / $811.08	Professional		$241.15	$424.01	$811.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $212.07 / $371.28 / $752.00	Facility		$212.07	$371.28	$752.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $385.50 / $768.14 / $1,128.00	Facility	50	$385.50	$768.14	$1,128.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $488.00 / $488.00 / $512.09	Professional		$488.00	$488.00	$512.09
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $768.14 / $768.14 / $768.14	Professional	50	$768.14	$768.14	$768.14
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 $348.34 / $433.75 / $972.45	Professional		$348.34	$433.75	$972.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,517.16 / $1,517.16 / $16,394.00	Facility		$1,517.16	$1,517.16	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,610.24 / $3,064.73 / $3,896.06	Professional		$1,610.24	$3,064.73	$3,896.06