Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.80 / $140.44 / $580.04	Facility		$91.80	$140.44	$580.04
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $82.18 / $82.18 / $82.18	Facility	25	$82.18	$82.18	$82.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $162.80 / $333.57	Professional		$113.09	$162.80	$333.57
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $163.47 / $295.24 / $562.11	Professional	25	$163.47	$295.24	$562.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.80 / $210.68 / $335.30	Professional		$162.80	$210.68	$335.30
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $162.80 / $162.80 / $166.46	Professional	25	$162.80	$162.80	$166.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.62 / $210.82 / $327.16	Professional		$103.62	$210.82	$327.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.06 / $208.27 / $338.03	Professional		$143.06	$208.27	$338.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.14 / $162.06 / $236.21	Facility		$119.14	$162.06	$236.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $176.50 / $176.50 / $179.58	Professional		$176.50	$176.50	$179.58
United Facility/Professional Professional Modifier Low / Median / High Price $156.66 / $208.90 / $322.05	Professional		$156.66	$208.90	$322.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $383.41 / $683.24 / $683.24	Facility		$383.41	$683.24	$683.24
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $887.76 / $887.76 / $1,291.38	Professional		$887.76	$887.76	$1,291.38