Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $67.61 / $123.03	Facility		$40.74	$67.61	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $43.65 / $77.62	Professional		$38.90	$43.65	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $35.48 / $35.48	Professional		$21.88	$35.48	$35.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $117.49 / $223.87	Facility		$87.10	$117.49	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $46.77	Professional		$22.91	$22.91	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $75.86 / $134.90	Facility		$33.88	$75.86	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $36.31 / $79.43	Professional		$31.62	$36.31	$79.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $51.29	Facility		$39.81	$39.81	$51.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.49 / $42.66	Professional		$12.02	$13.49	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $51.29 / $87.10	Facility		$25.70	$51.29	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $36.31 / $72.44	Professional		$21.38	$36.31	$72.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47