Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $6,918.31 / $14,125.38	Facility		$15.85	$6,918.31	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.49 / $30.90	Professional		$15.14	$15.49	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $43.65 / $46.77	Facility		$32.36	$43.65	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $15.49 / $15.49	Professional		$14.79	$15.49	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $21.38	Professional		$15.49	$15.49	$21.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $17.78 / $18.20	Facility		$15.49	$17.78	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $25.70 / $28.84	Facility		$15.49	$25.70	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $20.42	Professional		$15.49	$15.49	$20.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $100.00	Facility		$85.11	$85.11	$100.00