Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.75 / $167.70 / $299.95	Facility		$57.75	$167.70	$299.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.54 / $52.18 / $57.75	Professional		$49.54	$52.18	$57.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $45.12 / $45.12	Professional		$45.12	$45.12	$45.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.04 / $212.08 / $212.08	Facility		$155.04	$212.08	$212.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.49 / $61.36 / $72.19	Professional		$32.49	$61.36	$72.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.17 / $72.23 / $189.49	Facility		$39.17	$72.23	$189.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.28 / $36.46 / $103.77	Professional		$33.28	$36.46	$103.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.92 / $52.57 / $72.19	Facility		$46.92	$52.57	$72.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $72.19 / $72.19	Professional		$67.09	$72.19	$72.19
United Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $36.10 / $72.19	Professional		$36.10	$36.10	$72.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $140.52 / $342.90 / $342.90	Facility		$140.52	$342.90	$342.90