Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.59 / $105.25 / $194.21	Facility		$27.59	$105.25	$194.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $25.57 / $51.14	Professional		$21.49	$25.57	$51.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $20.38 / $66.31	Professional		$19.57	$20.38	$66.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.71 / $100.80 / $113.84	Facility		$49.71	$100.80	$113.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $17.61 / $20.55	Professional		$17.61	$17.61	$20.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.03 / $31.05 / $77.40	Facility		$20.03	$31.05	$77.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.61 / $28.92 / $54.91	Professional		$22.61	$28.92	$54.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.48 / $28.20 / $57.40	Facility		$23.48	$28.20	$57.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $42.04 / $53.30	Professional		$22.50	$42.04	$53.30
United Facility/Professional Facility Modifier Low / Median / High Price $38.47 / $41.57 / $49.20	Facility		$38.47	$41.57	$49.20
United Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $20.50 / $40.04	Professional		$14.68	$20.50	$40.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $215.25 / $215.25	Facility		$80.00	$215.25	$215.25