Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $104.71 / $251.19	Facility		$53.70	$104.71	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $128.82	Professional		$52.48	$61.66	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $46.77 / $85.11	Professional		$40.74	$46.77	$85.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $288.40 / $288.40	Facility		$114.82	$288.40	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $67.61 / $85.11	Professional		$43.65	$67.61	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $100.00 / $177.83	Facility		$43.65	$100.00	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $47.86 / $102.33	Professional		$42.66	$47.86	$102.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $125.89	Professional		$83.18	$117.49	$125.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $61.66 / $131.83	Facility		$53.70	$61.66	$131.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $109.65 / $120.23	Professional		$53.70	$109.65	$120.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $89.13 / $117.49	Facility		$35.48	$89.13	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $93.33	Professional		$33.88	$46.77	$93.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59