Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.97 / $95.55 / $142.84	Facility		$69.97	$95.55	$142.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $62.13 / $82.40	Professional		$48.64	$62.13	$82.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.53 / $53.11 / $56.66	Professional		$42.53	$53.11	$56.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.82 / $69.65 / $132.97	Professional		$53.82	$69.65	$132.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.83 / $110.83 / $110.83	Facility		$110.83	$110.83	$110.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $65.06 / $132.24	Professional		$49.00	$65.06	$132.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.19 / $75.95 / $106.09	Facility		$60.19	$75.95	$106.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.41 / $65.91 / $79.00	Professional		$61.41	$65.91	$79.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $62.35 / $104.55	Professional		$5.41	$62.35	$104.55
United Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $72.33 / $160.78	Professional		$12.72	$72.33	$160.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $323.95 / $323.95 / $323.95	Facility		$323.95	$323.95	$323.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $410.45 / $532.73 / $603.38	Professional		$410.45	$532.73	$603.38