Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $75.72 / $118.80	Facility		$27.15	$75.72	$118.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $29.58 / $39.03	Professional		$27.15	$29.58	$39.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $23.57 / $23.57	Professional		$22.63	$23.57	$23.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.39 / $57.49 / $116.60	Facility		$57.39	$57.49	$116.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $22.06 / $30.96	Professional		$15.27	$22.06	$30.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $35.90 / $88.96	Facility		$23.16	$35.90	$88.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $24.97 / $49.04	Professional		$21.47	$24.97	$49.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $29.59 / $66.40	Facility		$27.15	$29.59	$66.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $48.62 / $62.00	Professional		$13.77	$48.62	$62.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $23.16 / $46.31	Professional		$15.27	$23.16	$46.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $64.25 / $175.00 / $175.00	Facility		$64.25	$175.00	$175.00