Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.89 / $164.37 / $749.48	Facility		$59.89	$164.37	$749.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $54.11 / $66.56	Professional		$32.54	$54.11	$66.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $51.99 / $51.99	Professional		$49.91	$51.99	$51.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.58 / $156.16 / $260.89	Facility		$126.58	$156.16	$260.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.69 / $33.69 / $48.66	Professional		$33.69	$33.69	$48.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.68 / $92.45 / $196.61	Facility		$50.68	$92.45	$196.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.96 / $49.68 / $107.38	Professional		$44.96	$49.68	$107.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $58.39 / $89.08	Facility		$54.52	$58.39	$89.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $101.97 / $101.97 / $105.36	Professional		$101.97	$101.97	$105.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $318.20 / $318.20 / $318.20	Facility		$318.20	$318.20	$318.20
United Facility/Professional Professional Modifier Low / Median / High Price $37.43 / $50.99 / $101.97	Professional		$37.43	$50.99	$101.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $125.97 / $355.59 / $355.59	Facility		$125.97	$355.59	$355.59