Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.03 / $95.14 / $204.83	Facility		$18.03	$95.14	$204.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $15.33 / $28.68	Professional		$3.90	$15.33	$28.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $13.26 / $13.26	Professional		$12.73	$13.26	$13.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.93 / $56.54 / $63.84	Facility		$35.93	$56.54	$63.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $9.53 / $13.79	Professional		$9.53	$9.53	$13.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.41 / $17.53 / $56.05	Facility		$11.41	$17.53	$56.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $12.03 / $30.46	Professional		$10.48	$12.03	$30.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.65 / $15.91 / $32.20	Facility		$13.65	$15.91	$32.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $22.62 / $30.00	Professional		$21.45	$22.62	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $11.79 / $22.45	Professional		$10.61	$11.79	$22.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $91.19 / $142.00 / $147.00	Facility		$91.19	$142.00	$147.00