Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $147.91 / $208.93	Facility		$32.36	$147.91	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $79.43	Professional		$22.91	$30.20	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $56.23 / $100.00	Facility		$29.51	$56.23	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $41.69 / $72.44	Professional		$25.70	$41.69	$72.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $38.90 / $61.66	Facility		$25.70	$38.90	$61.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $28.84 / $58.88	Professional		$8.91	$28.84	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $33.88 / $67.61	Facility		$10.72	$33.88	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $60.26	Professional		$25.12	$33.88	$60.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $363.08	Facility		$269.15	$269.15	$363.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $245.47	Professional		$190.55	$190.55	$245.47