Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $134.90 / $25,703.96	Facility		$74.13	$134.90	$25,703.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $75.86 / $134.90	Professional		$72.44	$75.86	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $123.03 / $158.49	Facility		$85.11	$123.03	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $79.43	Professional		$77.62	$77.62	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $87.10	Professional		$72.44	$72.44	$87.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $134.90 / $162.18	Facility		$81.28	$134.90	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $117.49 / $128.82	Facility		$75.86	$117.49	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $72.44 / $107.15	Professional		$70.79	$72.44	$107.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74