Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.08 / $60.96 / $94.49	Facility		$49.08	$60.96	$94.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $51.60 / $63.49	Professional		$42.34	$51.60	$63.49
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $59.03 / $59.03 / $59.03	Professional	25	$59.03	$59.03	$59.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.23 / $50.23 / $50.23	Professional		$50.23	$50.23	$50.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $57.40 / $128.63	Professional		$36.74	$57.40	$128.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.09 / $78.06 / $127.17	Professional		$53.09	$78.06	$127.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.29 / $53.99 / $72.15	Facility		$45.29	$53.99	$72.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $52.95 / $67.97	Professional		$52.95	$52.95	$67.97
United Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $81.73 / $126.41	Professional		$62.10	$81.73	$126.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $92.73 / $241.68 / $241.68	Facility		$92.73	$241.68	$241.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $309.19 / $309.19 / $389.46	Professional		$309.19	$309.19	$389.46