Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $147.91 / $234.42	Facility		$43.65	$147.91	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $61.66	Professional		$34.67	$42.66	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $32.36 / $81.28	Professional		$31.62	$32.36	$81.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $199.53 / $199.53	Facility		$102.33	$199.53	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $61.66	Professional		$28.18	$42.66	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $69.18 / $123.03	Facility		$30.20	$69.18	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $67.61	Professional		$29.51	$33.11	$67.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $114.82 / $190.55	Professional		$33.11	$114.82	$190.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $42.66 / $91.20	Facility		$37.15	$42.66	$91.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $72.44 / $79.43	Professional		$38.02	$72.44	$79.43
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $660.69	Facility		$323.59	$323.59	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $46.77 / $81.28	Facility		$24.55	$46.77	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $66.07	Professional		$23.44	$33.11	$66.07
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87