Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.74 / $52.98 / $168.01	Facility		$48.74	$52.98	$168.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $56.14 / $64.41	Professional		$50.88	$56.14	$64.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.73 / $44.73 / $44.73	Professional		$44.73	$44.73	$44.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.15 / $268.60 / $268.60	Facility		$136.15	$268.60	$268.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $39.84 / $41.87	Professional		$28.98	$39.84	$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 $49.84 / $69.70 / $125.99	Facility		$49.84	$69.70	$125.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $88.54 / $117.00	Professional		$13.00	$88.54	$117.00
United Facility/Professional Facility Modifier Low / Median / High Price $53.99 / $84.45 / $110.71	Facility		$53.99	$84.45	$110.71
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 $135.00 / $307.83 / $307.83	Facility		$135.00	$307.83	$307.83