Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $199.53 / $457.09	Facility		$52.48	$199.53	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $61.66 / $190.55	Professional		$48.98	$61.66	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $181.97 / $275.42	Facility		$109.65	$181.97	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $66.07 / $114.82	Professional		$29.51	$66.07	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $102.33 / $169.82	Facility		$44.67	$102.33	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $97.72	Professional		$30.20	$47.86	$97.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $64.57 / $114.82	Facility		$52.48	$64.57	$114.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $69.18	Professional		$66.07	$66.07	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $85.11 / $109.65	Facility		$53.70	$85.11	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $44.67 / $93.33	Professional		$27.54	$44.67	$93.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $489.78	Professional		$323.59	$323.59	$489.78