Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $263.03	Professional		$154.88	$218.78	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $147.91	Professional		$114.82	$134.90	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $204.17	Professional		$123.03	$162.18	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $263.03	Professional		$147.91	$147.91	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $204.17 / $354.81	Facility		$154.88	$204.17	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $354.81	Professional		$147.91	$194.98	$354.81
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $1,584.89	Professional		$1,230.27	$1,584.89	$1,584.89