Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $416.87 / $794.33	Facility		$208.93	$416.87	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $346.74	Professional		$169.82	$213.80	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $186.21	Professional		$158.49	$158.49	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $616.60 / $616.60	Facility		$524.81	$616.60	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $398.11	Professional		$125.89	$194.98	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $416.87 / $691.83	Facility		$177.83	$416.87	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $436.52	Professional		$123.03	$181.97	$436.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $234.42 / $457.09	Facility		$181.97	$234.42	$457.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $309.03 / $354.81	Facility		$173.78	$309.03	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $147.91 / $263.03	Professional		$74.13	$147.91	$263.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,995.26	Professional		$1,318.26	$1,318.26	$1,995.26