Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.24 / $48.48 / $48.48	Facility		$40.24	$48.48	$48.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.91 / $65.03 / $175.30	Professional		$48.91	$65.03	$175.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $63.34 / $156.82	Professional		$62.10	$63.34	$156.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.73 / $117.98 / $167.47	Professional		$50.73	$117.98	$167.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $45.15 / $141.87	Professional		$30.57	$45.15	$141.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $109.41 / $151.49	Facility		$55.65	$109.41	$151.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.89 / $48.89 / $48.89	Professional		$48.89	$48.89	$48.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $37.99 / $60.43	Professional		$36.64	$37.99	$60.43
United Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $64.08 / $131.87	Professional		$38.36	$64.08	$131.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $332.76 / $332.76 / $332.76	Facility		$332.76	$332.76	$332.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $485.70 / $989.16 / $989.16	Professional		$485.70	$989.16	$989.16