Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $549.54 / $3,311.31	Facility		$125.89	$549.54	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $131.83 / $331.13	Professional		$125.89	$131.83	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $213.80 / $269.15	Facility		$169.82	$213.80	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $141.25 / $141.25	Professional		$138.04	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $131.83 / $131.83	Facility		$125.89	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $389.05	Professional		$131.83	$131.83	$389.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $151.36 / $158.49	Facility		$125.89	$151.36	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $223.87 / $251.19	Facility		$131.83	$223.87	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $141.25 / $199.53	Professional		$131.83	$141.25	$199.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69