Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.53 / $377.54 / $1,380.00	Facility		$86.53	$377.54	$1,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $72.98 / $202.91	Professional		$26.05	$72.98	$202.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $72.78 / $74.61	Professional		$26.42	$72.78	$74.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.27 / $32.72 / $76.17	Facility		$27.27	$32.72	$76.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.49 / $72.18 / $135.38	Professional		$39.49	$72.18	$135.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $49.47 / $114.34	Professional		$28.68	$49.47	$114.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $63.40 / $118.75	Facility		$35.70	$63.40	$118.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.40 / $63.40 / $63.40	Professional		$63.40	$63.40	$63.40
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $95.10 / $95.10 / $95.10	Professional	50	$95.10	$95.10	$95.10
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.72 / $79.11 / $138.51	Professional		$56.72	$79.11	$138.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $241.20 / $241.20 / $241.20	Facility		$241.20	$241.20	$241.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $651.16 / $832.88	Professional		$371.54	$651.16	$832.88