Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.68 / $21.92 / $199.00	Facility		$15.68	$21.92	$199.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $17.47 / $32.02	Professional		$15.68	$17.47	$32.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $13.61 / $13.61	Professional		$13.61	$13.61	$13.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.60 / $81.70 / $81.70	Facility		$41.60	$81.70	$81.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.70 / $17.64	Professional		$14.70	$14.70	$17.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.38 / $20.72 / $51.60	Facility		$13.38	$20.72	$51.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $14.40 / $28.39	Professional		$12.48	$14.40	$28.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $17.76 / $38.32	Facility		$15.16	$17.76	$38.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $26.93 / $36.00	Professional		$15.28	$26.93	$36.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $13.68 / $26.73	Professional		$9.80	$13.68	$26.73
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $77.61 / $98.68 / $100.00	Facility		$77.61	$98.68	$100.00