Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $40.14 / $227.81	Facility		$26.07	$40.14	$227.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $30.48 / $60.36	Professional		$27.09	$30.48	$60.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $23.51 / $23.51	Professional		$20.30	$23.51	$23.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.36 / $89.85 / $94.77	Facility		$57.36	$89.85	$94.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $30.47 / $32.22	Professional		$25.40	$30.47	$32.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.11 / $35.83 / $88.96	Facility		$23.11	$35.83	$88.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $24.97 / $49.04	Professional		$21.47	$24.97	$49.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.20 / $30.70 / $47.80	Facility		$26.20	$30.70	$47.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.38 / $35.00 / $45.00	Professional		$31.38	$35.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $17.50 / $33.86	Professional		$16.64	$17.50	$33.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $161.58 / $161.58	Facility		$80.00	$161.58	$161.58