Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.43 / $99.77 / $159.69	Facility		$54.43	$99.77	$159.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.89 / $49.83 / $67.37	Professional		$42.89	$49.83	$67.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $29.92 / $29.92	Professional		$29.92	$29.92	$29.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $69.65 / $117.31	Professional		$56.33	$69.65	$117.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.48 / $77.41 / $114.15	Professional		$50.48	$77.41	$114.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.64 / $54.43 / $80.58	Facility		$40.64	$54.43	$80.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.29 / $47.29 / $60.54	Professional		$47.29	$47.29	$60.54
United Facility/Professional Professional Modifier Low / Median / High Price $47.81 / $61.04 / $111.01	Professional		$47.81	$61.04	$111.01
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $98.62 / $261.35 / $876.56	Facility		$98.62	$261.35	$876.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,028.34 / $1,028.34 / $1,028.34	Professional		$1,028.34	$1,028.34	$1,028.34