Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $141.25 / $204.17	Facility		$51.29	$141.25	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $54.95 / $77.62	Professional		$44.67	$54.95	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $44.67 / $93.33	Professional		$42.66	$44.67	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $199.53 / $281.84	Facility		$109.65	$199.53	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $39.81 / $41.69	Professional		$28.84	$39.81	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $95.50 / $169.82	Facility		$43.65	$95.50	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $54.95 / $93.33	Professional		$40.74	$54.95	$93.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $58.88 / $67.61	Facility		$51.29	$58.88	$67.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $64.57	Professional		$51.29	$51.29	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $64.57 / $112.20	Facility		$32.36	$64.57	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $45.71 / $93.33	Professional		$26.92	$45.71	$93.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03