Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $52.48 / $112.20	Facility		$18.20	$52.48	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.49 / $30.20	Professional		$12.88	$15.49	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $11.22 / $11.22	Professional		$10.72	$11.22	$11.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $40.74 / $58.88	Facility		$30.90	$40.74	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $35.48 / $69.18	Facility		$12.30	$35.48	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $19.95 / $34.67	Professional		$10.47	$19.95	$34.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $16.22 / $30.90	Facility		$14.45	$16.22	$30.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $30.20	Professional		$12.88	$12.88	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $21.38 / $27.54	Facility		$9.12	$21.38	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.22 / $22.39	Professional		$9.12	$11.22	$22.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11