Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $93.33 / $109.65	Facility		$77.62	$93.33	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $204.17	Professional		$77.62	$83.18	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $81.28 / $114.82	Professional		$74.13	$81.28	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $87.10 / $89.13	Professional		$79.43	$87.10	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $100.00	Professional		$95.50	$95.50	$100.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $83.18 / $107.15	Facility		$77.62	$83.18	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $213.80 / $239.88	Facility		$158.49	$213.80	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $131.83	Professional		$83.18	$100.00	$131.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12