Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.33 / $175.55 / $310.50	Facility		$66.33	$175.55	$310.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.33 / $74.81 / $194.40	Professional		$54.33	$74.81	$194.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $77.94 / $84.48	Professional		$43.70	$77.94	$84.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.46 / $169.75 / $211.73	Facility		$141.46	$169.75	$211.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.55 / $105.55 / $105.55	Professional		$105.55	$105.55	$105.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.18 / $67.18 / $102.56	Facility		$67.18	$67.18	$102.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $105.04 / $169.30	Professional		$64.73	$105.04	$169.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.33 / $108.54 / $147.47	Facility		$54.33	$108.54	$147.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $77.00 / $222.16	Professional		$28.00	$77.00	$222.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $54.76 / $99.28	Professional		$21.61	$54.76	$99.28
United Facility/Professional Professional Modifier Low / Median / High Price $61.65 / $86.42 / $160.08	Professional		$61.65	$86.42	$160.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $132.05 / $539.87 / $539.87	Facility		$132.05	$539.87	$539.87
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $480.87 / $480.87 / $489.60	Professional		$480.87	$480.87	$489.60