Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.09 / $96.79 / $112.29	Facility		$64.09	$96.79	$112.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.83 / $96.79 / $113.92	Professional		$87.83	$96.79	$113.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $139.50 / $139.50	Professional		$139.50	$139.50	$139.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.86 / $140.22 / $211.76	Facility		$116.86	$140.22	$211.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $95.08 / $233.99	Professional		$78.80	$95.08	$233.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $64.00 / $186.00	Facility		$45.00	$64.00	$186.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $127.75 / $219.83	Professional		$72.67	$127.75	$219.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.66 / $96.79 / $150.52	Facility		$75.66	$96.79	$150.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.66 / $85.90 / $102.97	Professional		$75.66	$85.90	$102.97
United Facility/Professional Facility Modifier Low / Median / High Price $105.14 / $105.14 / $115.82	Facility		$105.14	$105.14	$115.82
United Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $104.81 / $212.97	Professional		$69.48	$104.81	$212.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $222.26 / $224.26 / $486.50	Facility		$222.26	$224.26	$486.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $616.10 / $616.10 / $784.58	Professional		$616.10	$616.10	$784.58