Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.80 / $104.72 / $271.33	Facility		$30.80	$104.72	$271.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $33.50 / $62.92	Professional		$28.46	$33.50	$62.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $26.74 / $26.74	Professional		$10.59	$26.74	$26.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.11 / $80.31 / $139.65	Facility		$65.11	$80.31	$139.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $25.03	Professional		$17.32	$17.32	$25.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.28 / $40.75 / $101.42	Facility		$26.28	$40.75	$101.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $28.44 / $55.24	Professional		$24.46	$28.44	$55.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.80 / $33.56 / $75.29	Facility		$30.80	$33.56	$75.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $55.14 / $70.00	Professional		$52.44	$55.14	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $26.89 / $52.53	Professional		$19.25	$26.89	$52.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $114.09 / $183.99 / $183.99	Facility		$114.09	$183.99	$183.99