Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $269.15 / $512.86	Facility		$67.61	$269.15	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $181.97	Professional		$63.10	$81.28	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $58.88 / $123.03	Professional		$56.23	$58.88	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $229.09 / $229.09	Facility		$165.96	$229.09	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $64.57 / $165.96	Professional		$63.10	$64.57	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $134.90 / $223.87	Facility		$57.54	$134.90	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $67.61 / $165.96	Professional		$39.81	$67.61	$165.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $102.33 / $204.17	Facility		$67.61	$102.33	$204.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $436.52	Facility		$223.87	$223.87	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $112.20 / $147.91	Facility		$72.44	$112.20	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $51.29 / $112.20	Professional		$35.48	$51.29	$112.20
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $691.83 / $691.83	Professional		$630.96	$691.83	$691.83