Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $162.18 / $354.81	Facility		$54.95	$162.18	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $56.23 / $125.89	Professional		$44.67	$56.23	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $44.67 / $44.67	Professional		$42.66	$44.67	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $147.91 / $281.84	Facility		$109.65	$147.91	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $54.95 / $54.95	Professional		$28.84	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $95.50 / $169.82	Facility		$41.69	$95.50	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $45.71 / $93.33	Professional		$40.74	$45.71	$93.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $53.70 / $117.49	Facility		$51.29	$53.70	$117.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $57.54	Professional		$51.29	$51.29	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $64.57 / $112.20	Facility		$33.88	$64.57	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $44.67 / $89.13	Professional		$32.36	$44.67	$89.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03