Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.37 / $83.29 / $126.80	Facility		$67.37	$83.29	$126.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.37 / $78.45 / $400.00	Professional		$67.37	$78.45	$400.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $104.78 / $104.78	Professional		$55.46	$104.78	$104.78
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 $110.90 / $110.90 / $110.90	Professional		$110.90	$110.90	$110.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.14 / $83.14 / $111.91	Facility		$83.14	$83.14	$111.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.53 / $115.56 / $205.53	Professional		$75.53	$115.56	$205.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.37 / $119.02 / $174.79	Facility		$67.37	$119.02	$174.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $95.00 / $275.48	Professional		$38.00	$95.00	$275.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $66.56 / $121.68	Professional		$28.13	$66.56	$121.68
United Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $100.51 / $198.13	Professional		$73.20	$100.51	$198.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $161.77 / $378.15 / $378.15	Facility		$161.77	$378.15	$378.15
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $484.57 / $601.65 / $601.65	Professional		$484.57	$601.65	$601.65