Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $77.62 / $194.98	Facility		$57.54	$77.62	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $109.65	Professional		$51.29	$67.61	$109.65
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $14.45 / $70.79 / $75.86	Professional	25	$14.45	$70.79	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $66.07 / $81.28	Professional		$57.54	$66.07	$81.28
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $64.57 / $64.57 / $64.57	Professional	25	$64.57	$64.57	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $75.86 / $97.72	Professional		$74.13	$75.86	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $134.90 / $177.83	Professional		$60.26	$134.90	$177.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $77.62 / $134.90	Facility		$75.86	$77.62	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $74.13 / $138.04	Professional		$56.23	$74.13	$138.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58