Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.09 / $103.14 / $208.45	Facility		$74.09	$103.14	$208.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.91 / $66.28 / $104.31	Professional		$51.91	$66.28	$104.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $63.69 / $95.54	Professional		$50.94	$63.69	$95.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $74.70 / $126.41	Professional		$57.72	$74.70	$126.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.77 / $118.77 / $118.77	Facility		$118.77	$118.77	$118.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $63.67 / $126.06	Professional		$42.78	$63.67	$126.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $74.84 / $106.74	Facility		$54.67	$74.84	$106.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $74.66 / $80.00	Professional		$35.00	$74.66	$80.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.75 / $69.22 / $114.96	Professional		$50.75	$69.22	$114.96
United Facility/Professional Professional Modifier Low / Median / High Price $54.65 / $72.50 / $144.88	Professional		$54.65	$72.50	$144.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $344.23 / $344.23 / $344.23	Facility		$344.23	$344.23	$344.23
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $445.77 / $561.67 / $649.35	Professional		$445.77	$561.67	$649.35