Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.13 / $140.47 / $219.02	Facility		$41.13	$140.47	$219.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $42.28 / $76.81	Professional		$8.19	$42.28	$76.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $32.63 / $81.88	Professional		$31.32	$32.63	$81.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.82 / $195.95 / $195.95	Facility		$102.82	$195.95	$195.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $28.19 / $32.89	Professional		$28.19	$28.19	$32.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.07 / $49.73 / $123.66	Facility		$32.07	$49.73	$123.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.79 / $34.64 / $67.63	Professional		$29.79	$34.64	$67.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.58 / $42.61 / $91.91	Facility		$37.58	$42.61	$91.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $67.30 / $86.00	Professional		$50.86	$67.30	$86.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $653.96 / $653.96 / $653.96	Facility		$653.96	$653.96	$653.96
United Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $32.22 / $64.09	Professional		$21.14	$32.22	$64.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $126.77 / $224.07 / $224.07	Facility		$126.77	$224.07	$224.07