Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.35 / $396.74 / $621.24	Facility		$17.35	$396.74	$621.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $57.28 / $75.86	Professional		$51.53	$57.28	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.94 / $44.73 / $229.13	Professional		$42.94	$44.73	$229.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.37 / $268.60 / $268.60	Facility		$134.37	$268.60	$268.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $28.98 / $41.87	Professional		$28.98	$28.98	$41.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.96 / $68.16 / $169.03	Facility		$43.96	$68.16	$169.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.77 / $47.40 / $92.41	Professional		$40.77	$47.40	$92.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.31 / $58.40 / $125.99	Facility		$48.31	$58.40	$125.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $88.54 / $117.00	Professional		$34.29	$88.54	$117.00
United Facility/Professional Facility Modifier Low / Median / High Price $77.29 / $77.29 / $77.29	Facility		$77.29	$77.29	$77.29
United Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $45.00 / $87.88	Professional		$32.21	$45.00	$87.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $175.64 / $307.83 / $334.00	Facility		$175.64	$307.83	$334.00