Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $77.62 / $354.81	Facility		$24.55	$77.62	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.90 / $100.00	Professional		$19.95	$30.90	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $25.12	Professional		$21.38	$21.38	$25.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $177.83 / $213.80	Facility		$66.07	$177.83	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $34.67 / $34.67	Professional		$20.42	$34.67	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $95.50	Professional		$20.42	$20.42	$95.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $24.55 / $29.51	Facility		$19.50	$24.55	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $54.95 / $61.66	Facility		$40.74	$54.95	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $50.12	Professional		$20.42	$20.42	$50.12
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91