Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $37.15 / $112.20	Facility		$19.95	$37.15	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.88 / $35.48	Professional		$18.62	$21.88	$35.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.38 / $34.67	Professional		$15.14	$17.38	$34.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $56.23 / $93.33	Facility		$42.66	$56.23	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $28.84 / $28.84	Professional		$16.22	$28.84	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $36.31 / $66.07	Facility		$16.22	$36.31	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $17.78 / $38.02	Professional		$15.85	$17.78	$38.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $46.77 / $63.10	Professional		$20.89	$46.77	$63.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $21.88 / $48.98	Facility		$19.95	$21.88	$48.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $41.69 / $45.71	Professional		$19.95	$41.69	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $25.12 / $43.65	Facility		$13.18	$25.12	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.38 / $34.67	Professional		$12.59	$17.38	$34.67
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25