Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $309.03 / $851.14	Facility		$114.82	$309.03	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $275.42	Professional		$95.50	$134.90	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $75.86 / $95.50	Professional		$66.07	$75.86	$95.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $537.03 / $537.03	Facility		$323.59	$537.03	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $134.90	Professional		$83.18	$107.15	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $223.87 / $371.54	Facility		$97.72	$223.87	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $257.04	Professional		$66.07	$100.00	$257.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $138.04 / $269.15	Facility		$102.33	$138.04	$269.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $169.82 / $213.80	Facility		$104.71	$169.82	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $85.11 / $158.49	Professional		$48.98	$85.11	$158.49
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $1,071.52	Professional		$707.95	$707.95	$1,071.52