Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $257.04 / $436.52	Facility		$199.53	$257.04	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $204.17 / $426.58	Professional		$199.53	$204.17	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $549.54 / $630.96	Facility		$407.38	$549.54	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $204.17 / $223.87	Professional		$199.53	$204.17	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $204.17 / $204.17	Facility		$199.53	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $263.03	Professional		$204.17	$204.17	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $213.80 / $239.88	Facility		$199.53	$213.80	$239.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $208.93 / $281.84	Professional		$204.17	$208.93	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $199.53 / $338.84	Facility		$2.04	$199.53	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $204.17 / $208.93	Professional		$81.28	$204.17	$208.93
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29