Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $45.71 / $109.65	Facility		$23.44	$45.71	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $38.90	Professional		$21.88	$26.30	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $20.42 / $22.39	Professional		$19.50	$20.42	$22.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $125.89 / $125.89	Facility		$63.10	$125.89	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.05 / $26.92	Professional		$13.18	$19.05	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $43.65 / $77.62	Facility		$19.05	$43.65	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $20.89 / $44.67	Professional		$18.62	$20.89	$44.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $54.95 / $173.78	Professional		$24.55	$54.95	$173.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $26.92 / $57.54	Facility		$23.44	$26.92	$57.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $25.12	Professional		$22.39	$22.39	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $35.48 / $51.29	Facility		$15.49	$35.48	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.42 / $41.69	Professional		$14.79	$20.42	$41.69
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $199.53	Facility		$141.25	$141.25	$199.53