Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $288.40 / $489.78	Facility		$134.90	$288.40	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $208.93 / $562.34	Professional		$112.20	$208.93	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $114.82	Professional		$97.72	$114.82	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $181.97 / $234.42	Facility		$123.03	$181.97	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $123.03 / $162.18	Professional		$120.23	$123.03	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $575.44	Professional		$112.20	$112.20	$575.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $134.90 / $162.18	Facility		$128.82	$134.90	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $208.93 / $234.42	Facility		$114.82	$208.93	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $186.21	Professional		$112.20	$112.20	$186.21
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65