Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.62 / $45.44 / $147.97	Facility		$23.62	$45.44	$147.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $26.57 / $48.27	Professional		$23.62	$26.57	$48.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $20.51	Professional		$20.51	$20.51	$20.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.42 / $123.18 / $123.18	Facility		$62.42	$123.18	$123.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $19.19	Professional		$13.29	$13.29	$19.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $31.26 / $77.40	Facility		$20.14	$31.26	$77.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $21.69 / $42.33	Professional		$18.64	$21.69	$42.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.62 / $26.77 / $57.76	Facility		$23.62	$26.77	$57.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $42.30 / $54.00	Professional		$22.50	$42.30	$54.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $20.63 / $40.29	Professional		$14.77	$20.63	$40.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $77.47 / $142.00 / $198.00	Facility		$77.47	$142.00	$198.00