Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $208.93 / $389.05	Facility		$95.50	$208.93	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $316.23	Professional		$87.10	$134.90	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $147.91	Professional		$100.00	$134.90	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $275.42 / $371.54	Facility		$199.53	$275.42	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $128.82	Professional		$104.71	$104.71	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $141.25	Professional		$131.83	$131.83	$141.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $158.49 / $158.49	Facility		$134.90	$158.49	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $218.78 / $245.47	Facility		$134.90	$218.78	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $141.25	Professional		$117.49	$138.04	$141.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87