Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $35.48 / $39.81	Facility		$22.91	$35.48	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $38.02	Professional		$18.20	$23.99	$38.02
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $0.52 / $0.52 / $0.52	Professional	25	$0.52	$0.52	$0.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.18 / $34.67	Professional		$23.44	$28.18	$34.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.20 / $51.29	Professional		$20.42	$30.20	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $45.71	Professional		$28.84	$28.84	$45.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $25.70 / $39.81	Facility		$19.95	$25.70	$39.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $52.48	Professional		$21.88	$28.84	$52.48
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $269.15	Professional		$186.21	$269.15	$269.15