Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $33.72 / $33.72	Facility		$33.72	$33.72	$33.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $33.72 / $40.85	Professional		$26.58	$33.72	$40.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.04 / $117.04 / $117.04	Professional		$117.04	$117.04	$117.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.63 / $62.69 / $83.27	Professional		$42.63	$62.69	$83.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.01 / $41.01 / $41.01	Facility		$41.01	$41.01	$41.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $166.93 / $171.50	Professional		$49.16	$166.93	$171.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.53 / $32.90 / $40.46	Facility		$31.53	$32.90	$40.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $32.90 / $32.90	Professional		$32.90	$32.90	$32.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $131.91 / $131.91	Professional		$131.91	$131.91	$131.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,064.00 / $3,994.00 / $7,778.00	Facility		$1,064.00	$3,994.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $36.11 / $65.09	Professional		$26.69	$36.11	$65.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $53.37 / $95.12 / $190.52	Facility		$53.37	$95.12	$190.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $264.95 / $307.35 / $307.35	Professional		$264.95	$307.35	$307.35