Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $208.93 / $218.78	Facility		$186.21	$208.93	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $208.93	Professional		$190.55	$190.55	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $190.55	Professional		$186.21	$186.21	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $204.17	Professional		$190.55	$190.55	$204.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $229.09 / $229.09	Facility		$190.55	$229.09	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $269.15 / $302.00	Facility		$190.55	$269.15	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $186.21 / $204.17	Professional		$169.82	$186.21	$204.17
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86