Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $38.25 / $230.06	Facility		$18.36	$38.25	$230.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $37.77 / $47.81	Professional		$7.69	$37.77	$47.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $33.20 / $33.20	Professional		$13.15	$33.20	$33.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.84 / $99.74 / $166.63	Facility		$80.84	$99.74	$166.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $21.51 / $31.08	Professional		$21.51	$21.51	$31.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.47 / $44.25 / $125.44	Facility		$26.47	$44.25	$125.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $31.90 / $68.66	Professional		$22.66	$31.90	$68.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.82 / $35.15 / $55.19	Facility		$34.82	$35.15	$55.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $55.19 / $67.55	Professional		$27.00	$55.19	$67.55
United Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $28.69 / $57.91	Professional		$21.00	$28.69	$57.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $83.19 / $227.10 / $227.10	Facility		$83.19	$227.10	$227.10