Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.49 / $327.91 / $428.79	Facility		$135.49	$327.91	$428.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.53 / $125.76 / $187.92	Professional		$71.53	$125.76	$187.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.93 / $204.22 / $291.61	Professional		$128.93	$204.22	$291.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $110.31 / $310.25	Professional		$70.06	$110.31	$310.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.77 / $125.77 / $125.77	Facility		$125.77	$125.77	$125.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.17 / $176.76 / $314.33	Professional		$93.17	$176.76	$314.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.91 / $132.59 / $200.47	Facility		$77.91	$132.59	$200.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $129.32 / $207.00	Professional		$100.46	$129.32	$207.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.71 / $185.45 / $306.85	Professional		$144.71	$185.45	$306.85
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $461.51 / $461.51 / $461.51	Facility		$461.51	$461.51	$461.51
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $578.25 / $578.25 / $951.45	Professional		$578.25	$578.25	$951.45