Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $67.61 / $67.61	Facility		$53.70	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $338.84	Professional		$64.57	$93.33	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $89.13 / $194.98	Professional		$38.02	$89.13	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $154.88 / $213.80	Professional		$69.18	$154.88	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $61.66 / $181.97	Professional		$40.74	$61.66	$181.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $194.98	Professional		$186.21	$186.21	$194.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $107.15 / $208.93	Facility		$69.18	$107.15	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $81.28	Professional		$77.62	$77.62	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $79.43 / $173.78	Professional		$50.12	$79.43	$173.78
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,202.26 / $1,202.26	Professional		$660.69	$1,202.26	$1,202.26