Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.57 / $192.09 / $785.58	Facility		$116.57	$192.09	$785.58
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $291.22 / $291.22 / $291.22	Facility	25	$291.22	$291.22	$291.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.34 / $225.85 / $454.54	Professional		$154.34	$225.85	$454.54
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $200.00 / $269.95 / $569.59	Professional	25	$200.00	$269.95	$569.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $242.68 / $242.68 / $534.25	Professional		$242.68	$242.68	$534.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.78 / $275.58 / $469.58	Professional		$140.78	$275.58	$469.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.88 / $285.45 / $478.34	Professional		$200.88	$285.45	$478.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.76 / $220.62 / $318.85	Facility		$161.76	$220.62	$318.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.14 / $239.14 / $253.53	Professional		$239.14	$239.14	$253.53
United Facility/Professional Professional Modifier Low / Median / High Price $223.31 / $307.23 / $515.92	Professional		$223.31	$307.23	$515.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $456.76 / $927.58 / $927.58	Facility		$456.76	$927.58	$927.58
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,202.95 / $1,202.95 / $1,741.13	Professional		$1,202.95	$1,202.95	$1,741.13