Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $68.31 / $128.10	Facility		$4.91	$68.31	$128.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $5.07 / $7.02	Professional		$3.15	$5.07	$7.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $1.69	Professional		$1.69	$1.69	$1.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $23.68 / $23.68	Facility		$13.43	$23.68	$23.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.68 / $4.30 / $5.48	Professional		$3.68	$4.30	$5.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.94 / $6.00 / $16.01	Facility		$3.94	$6.00	$16.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $4.19 / $8.77	Professional		$3.66	$4.19	$8.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.71 / $5.15 / $11.10	Facility		$4.71	$5.15	$11.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $8.13 / $11.00	Professional		$5.13	$8.13	$11.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $3.87 / $7.74	Professional		$2.58	$3.87	$7.74
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $29.09 / $60.00 / $100.00	Facility		$29.09	$60.00	$100.00