Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.42 / $136.08 / $164.68	Facility		$59.42	$136.08	$164.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $51.89 / $91.36	Professional		$32.00	$51.89	$91.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $81.31 / $111.99	Professional		$49.97	$81.31	$111.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.06 / $46.96 / $122.52	Professional		$30.06	$46.96	$122.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.78 / $53.78 / $53.78	Facility		$53.78	$53.78	$53.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.15 / $75.45 / $134.75	Professional		$44.15	$75.45	$134.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $54.86 / $85.03	Facility		$35.11	$54.86	$85.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $49.83 / $80.00	Professional		$43.74	$49.83	$80.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $75.03 / $125.24	Professional		$53.27	$75.03	$125.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $197.89 / $197.89 / $197.89	Facility		$197.89	$197.89	$197.89
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $259.41 / $259.41 / $393.91	Professional		$259.41	$259.41	$393.91