Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $87.10 / $114.82	Facility		$47.86	$87.10	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $48.98 / $77.62	Professional		$30.20	$48.98	$77.62
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $107.15 / $117.49 / $117.49	Professional	25	$107.15	$117.49	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $81.28	Professional		$47.86	$58.88	$81.28
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $46.77 / $48.98 / $75.86	Professional	25	$46.77	$48.98	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $54.95 / $81.28	Professional		$33.88	$54.95	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $58.88 / $91.20	Professional		$36.31	$58.88	$91.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $50.12 / $66.07	Facility		$33.11	$50.12	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $44.67 / $72.44	Professional		$31.62	$44.67	$72.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11