Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $41.69 / $120.23	Facility		$19.95	$41.69	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $31.62	Professional		$15.85	$19.05	$31.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $75.86 / $75.86	Facility		$51.29	$75.86	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $21.88	Professional		$16.98	$16.98	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $35.48 / $63.10	Facility		$12.30	$35.48	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $12.30 / $34.67	Professional		$11.22	$12.30	$34.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $38.90 / $58.88	Professional		$14.79	$38.90	$58.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $17.38 / $34.67	Facility		$14.79	$17.38	$34.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $20.89	Professional		$15.49	$19.05	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $23.99 / $30.90	Facility		$12.02	$23.99	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.59 / $24.55	Professional		$10.72	$12.59	$24.55
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82