Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $69.18 / $245.47	Facility		$17.78	$69.18	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.88 / $50.12	Professional		$15.85	$21.88	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $30.20 / $40.74	Facility		$12.88	$30.20	$40.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $17.78 / $21.88	Professional		$12.02	$17.78	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.88 / $21.88	Professional		$19.05	$21.88	$21.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $21.38 / $26.30	Facility		$17.78	$21.38	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $33.88 / $38.02	Facility		$25.12	$33.88	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $21.88 / $28.84	Professional		$20.42	$21.88	$28.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00