Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $234.42 / $234.42	Facility		$75.86	$234.42	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $107.15	Professional		$61.66	$75.86	$107.15
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $229.09 / $229.09 / $229.09	Professional	25	$229.09	$229.09	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $72.44 / $91.20	Professional		$63.10	$72.44	$91.20
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $85.11 / $85.11 / $85.11	Professional	25	$85.11	$85.11	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $87.10 / $151.36	Professional		$51.29	$87.10	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $165.96	Professional		$79.43	$112.20	$165.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $75.86 / $100.00	Facility		$61.66	$75.86	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $151.36	Professional		$75.86	$97.72	$151.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81