Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $109.65 / $128.82	Facility		$30.90	$109.65	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $39.81	Professional		$25.12	$30.20	$39.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $75.86 / $87.10	Facility		$66.07	$75.86	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $26.92	Professional		$17.38	$17.38	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $56.23 / $102.33	Facility		$20.42	$56.23	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.42 / $58.88	Professional		$17.78	$20.42	$58.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $19.95 / $37.15	Facility		$13.49	$19.95	$37.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $28.84	Professional		$25.12	$25.12	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $38.90 / $46.77	Facility		$13.80	$38.90	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.50 / $38.90	Professional		$16.22	$19.50	$38.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97