Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.26 / $56.95 / $7,362.00	Facility		$31.26	$56.95	$7,362.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.26 / $36.72 / $48.23	Professional		$31.26	$36.72	$48.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.61 / $30.61 / $30.61	Professional		$30.61	$30.61	$30.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $55.97 / $107.53	Professional		$34.97	$55.97	$107.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $47.18 / $98.26	Professional		$32.29	$47.18	$98.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.26 / $38.56 / $50.40	Facility		$31.26	$38.56	$50.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $50.40 / $50.40	Professional		$50.40	$50.40	$50.40
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 $34.13 / $46.07 / $102.09	Professional		$34.13	$46.07	$102.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $222.18	Facility		$55.00	$55.00	$222.18
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $236.80 / $267.14 / $315.23	Professional		$236.80	$267.14	$315.23