Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $161.81 / $238.76	Facility		$63.00	$161.81	$238.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $120.00 / $124.85	Professional		$71.68	$120.00	$124.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $27.50 / $27.50	Professional		$27.50	$27.50	$27.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.83 / $312.45 / $312.45	Facility		$218.83	$312.45	$312.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $70.00 / $70.95	Professional		$60.00	$70.00	$70.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.21 / $80.23 / $262.44	Facility		$43.21	$80.23	$262.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $47.78 / $143.52	Professional		$41.91	$47.78	$143.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $87.22 / $124.85	Facility		$50.00	$87.22	$124.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $87.22 / $102.99	Professional		$65.00	$87.22	$102.99
United Facility/Professional Professional Modifier Low / Median / High Price $43.61 / $51.11 / $102.22	Professional		$43.61	$51.11	$102.22
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $174.00 / $475.00 / $475.00	Facility		$174.00	$475.00	$475.00