Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.08 / $352.52 / $2,489.60	Facility		$132.08	$352.52	$2,489.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $174.45 / $174.45	Professional		$152.63	$174.45	$174.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.72 / $218.72 / $218.72	Professional		$218.72	$218.72	$218.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $369.40 / $369.40 / $454.93	Facility		$369.40	$369.40	$454.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.55 / $196.25 / $196.25	Professional		$163.55	$196.25	$196.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.55 / $212.61 / $572.03	Facility		$108.55	$212.61	$572.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.11 / $250.69 / $313.36	Professional		$122.11	$250.69	$313.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $113.39 / $130.84 / $207.16	Facility		$113.39	$130.84	$207.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.74 / $174.45 / $218.06	Professional		$141.74	$174.45	$218.06
United Facility/Professional Facility Modifier Low / Median / High Price $130.84 / $155.19 / $312.72	Facility		$130.84	$155.19	$312.72
United Facility/Professional Professional Modifier Low / Median / High Price $109.03 / $109.03 / $218.06	Professional		$109.03	$109.03	$218.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $348.90 / $1,035.79 / $1,035.79	Facility		$348.90	$1,035.79	$1,035.79