Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $77.43 / $194.79	Facility		$16.75	$77.43	$194.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $31.56 / $41.62	Professional		$28.26	$31.56	$41.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $24.54 / $24.54	Professional		$12.25	$24.54	$24.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.96 / $66.66 / $66.66	Facility		$57.96	$66.66	$66.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $16.48 / $22.96	Professional		$15.90	$16.48	$22.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.11 / $37.40 / $92.52	Facility		$24.11	$37.40	$92.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $26.07 / $50.59	Professional		$22.46	$26.07	$50.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.17 / $31.26 / $35.72	Facility		$24.17	$31.26	$35.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $22.89 / $30.00	Professional		$21.78	$22.89	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $15.90 / $35.33	Professional		$10.91	$15.90	$35.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $92.96 / $196.00 / $214.00	Facility		$92.96	$196.00	$214.00