Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.69 / $82.41 / $403.11	Facility		$21.69	$82.41	$403.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.98 / $21.69	Professional		$14.45	$18.98	$21.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $16.94 / $16.94	Professional		$16.94	$16.94	$16.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.92 / $48.70 / $56.55	Facility		$45.92	$48.70	$56.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $12.20 / $18.98	Professional		$12.20	$12.20	$18.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $27.68 / $71.17	Facility		$14.42	$27.68	$71.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $31.39 / $46.29	Professional		$15.18	$31.39	$46.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $19.75 / $27.11	Facility		$14.37	$19.75	$27.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $21.69 / $27.11	Professional		$19.54	$21.69	$27.11
United Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $13.56 / $27.11	Professional		$12.20	$13.56	$27.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $47.17 / $128.77 / $128.77	Facility		$47.17	$128.77	$128.77