Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $40.74 / $158.49	Facility		$21.38	$40.74	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $20.89 / $43.65	Professional		$16.22	$20.89	$43.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.85 / $16.60	Professional		$14.45	$15.85	$16.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $75.86 / $75.86	Facility		$54.95	$75.86	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.22 / $17.38	Professional		$12.02	$16.22	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $22.91 / $70.79	Facility		$11.48	$22.91	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.59 / $38.90	Professional		$11.48	$12.59	$38.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $33.11 / $104.71	Professional		$14.79	$33.11	$104.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $19.50 / $34.67	Facility		$14.79	$19.50	$34.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $18.20 / $19.95	Professional		$17.38	$18.20	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $26.92 / $31.62	Facility		$13.49	$26.92	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.49 / $26.92	Professional		$12.02	$13.49	$26.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36