Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $61.66 / $79.43	Facility		$56.23	$61.66	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $295.12	Professional		$64.57	$93.33	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $93.33 / $165.96	Professional		$72.44	$93.33	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $165.96	Professional		$58.88	$91.20	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $69.18 / $147.91	Professional		$38.90	$69.18	$147.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $141.25	Professional		$131.83	$131.83	$141.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $100.00 / $162.18	Facility		$67.61	$100.00	$162.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $81.28 / $95.50	Professional		$77.62	$81.28	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $81.28 / $151.36	Professional		$47.86	$81.28	$151.36
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $794.33	Professional		$602.56	$602.56	$794.33