Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $74.13 / $13,803.84	Facility		$36.31	$74.13	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $28.84 / $77.62	Professional		$26.92	$28.84	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $51.29 / $57.54	Facility		$28.84	$51.29	$57.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $74.13 / $74.13	Professional		$27.54	$74.13	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $27.54 / $27.54	Facility		$25.12	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $91.20	Professional		$27.54	$27.54	$91.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $36.31 / $43.65	Facility		$31.62	$36.31	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $45.71 / $51.29	Facility		$26.92	$45.71	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $42.66	Professional		$27.54	$27.54	$42.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87