Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $100.00 / $295.12	Facility		$67.61	$100.00	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $416.87	Professional		$66.07	$107.15	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $125.89	Professional		$66.07	$107.15	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $173.78 / $229.09	Facility		$144.54	$173.78	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $117.49 / $120.23	Facility		$112.20	$117.49	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $204.17	Professional		$75.86	$112.20	$204.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $169.82	Professional		$120.23	$151.36	$169.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $100.00 / $173.78	Facility		$67.61	$100.00	$173.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $70.79 / $154.88	Professional		$28.18	$70.79	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $67.61 / $107.15	Facility		$39.81	$67.61	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $165.96	Professional		$70.79	$91.20	$165.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $602.56	Professional		$489.78	$489.78	$602.56