Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $630.96 / $8,317.64	Facility		$95.50	$630.96	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $93.33 / $199.53	Professional		$87.10	$93.33	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $95.50 / $102.33	Professional		$93.33	$95.50	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $158.49 / $239.88	Facility		$131.83	$158.49	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $95.50	Professional		$85.11	$93.33	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $112.20	Professional		$93.33	$93.33	$112.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $104.71 / $112.20	Facility		$87.10	$104.71	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $151.36 / $169.82	Facility		$93.33	$151.36	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $93.33 / $123.03	Professional		$91.20	$93.33	$123.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95