Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $213.80 / $467.74	Facility		$158.49	$213.80	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $354.81	Professional		$123.03	$165.96	$354.81
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $239.88 / $239.88 / $239.88	Professional	25	$239.88	$239.88	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $186.21	Professional		$144.54	$169.82	$186.21
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $141.25 / $158.49 / $169.82	Professional	25	$141.25	$158.49	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $229.09	Professional		$177.83	$208.93	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $331.13 / $398.11	Professional		$114.82	$331.13	$398.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $190.55 / $316.23	Facility		$169.82	$190.55	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $331.13	Professional		$125.89	$169.82	$331.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29