Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.56 / $73.90 / $140.21	Professional		$47.56	$73.90	$140.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.84 / $82.84 / $82.84	Professional		$82.84	$82.84	$82.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.11 / $117.33 / $187.96	Professional		$62.11	$117.33	$187.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.08 / $93.04 / $160.31	Professional		$58.08	$93.04	$160.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.31 / $94.00 / $105.00	Professional		$91.31	$94.00	$105.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $102.66 / $134.84	Professional		$67.31	$102.66	$134.84
United Facility/Professional Professional Modifier Low / Median / High Price $65.30 / $94.42 / $201.12	Professional		$65.30	$94.42	$201.12
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $362.72 / $586.96 / $688.28	Professional		$362.72	$586.96	$688.28